| NPI | 1952351678 |
|---|---|
| Doing Business As | DBA TEXAS STATE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | AUREA I RIVERA President Optometrist 713-862-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 2217T) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-03-07 |