| NPI | 1932283710 |
|---|---|
| Other Name | TEXAS STATE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | ARDITH RENEE PAGAN Authorized Official 254-778-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-09-02 |