NPI age
19 years
Enumerated 2006-07-10
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 11616015 | CAQH |
| 05 (TX) | 1548182-03 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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