NPI age
13 years
Enumerated 2012-06-22
Across 7867 active optometrist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8987TG | TEXAS LICENSE |
| 01 (NY) | TUV007843-1 | LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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