NPI age
19 years
Enumerated 2007-02-07
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (CO) | 2240 | STATE LISCENSURE NUMBER |
| 01 (TX) | 07484TG | OPTOMETRY LICENSE |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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