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 |