NPI age
19 years
Enumerated 2006-10-20
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 110677504 | |
| 01 (TX) | 142624902 | MEDICAID GROUP |
| 01 (TX) | 00Z051 | MEDICARE GROUP |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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