| NPI | 1932343167 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | MONTY S BANKS President 254-968-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 3115TG) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |