NPI age
16 years
Enumerated 2009-08-12
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | TXB142479 | INDIVIDUAL PTAN |
| 01 (TX) | 7455T | TEXAS OPTOMETRY LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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