| NPI | 1891952594 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL KERRVILLE |
| Entity Type | Organization |
| Authorized Contact | BENITO PENA Doctor Of O PT Ometry 830-257-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7139TG) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2018-06-21 |