NPI age
14 years
Enumerated 2011-07-29
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8802TG | TEXAS BOARD OF OPTOMETRY |
| 01 (MD) | TA2254 | MARYLAND LICENSE NUMBER |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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