NPI age
20 years
Enumerated 2006-04-18
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 213777001 | |
| 01 (TX) | 0A5439 | MEDICARE PTAN |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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