| NPI | 1861877185 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL CUSTER CREEK |
| Entity Type | Organization |
| Authorized Contact | VALENTA CARTER Optometrist 469-929-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7548) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2017-08-22 |