NPI age
20 years
Enumerated 2005-10-17
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2127920 | TAX ID |
| 01 (TX) | 80742Q | BCBS |
| 05 (TX) | 153485101 |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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