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Organization
WILLOWBROOK TSO PC
Active
Organization
WILLOWBROOK TSO PC
Active
Other names
Willowbrook Texas State Optical
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS FORD (DIRECTOR)
(713) 412-7842
Entity
Organization
Contact information
Practice address
17776 TOMBALL PKWY, SUITE #15, HOUSTON, TX 77064-1016
(281) 890-8480
Mailing address
1250 UVALDE RD, HOUSTON, TX 77015-3708
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1573727-01
—
TX
Enumeration date
03/16/2006
Last updated
07/15/2014
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