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Organization
PASADENA OPTICAL INC
Active
Organization
PASADENA OPTICAL INC
Active
Other names
Southmore Texas State Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS A FORD (HR MGR)
(713) 453-2972
Entity
Organization
Contact information
Practice address
825 E SOUTHMORE AVE, PASADENA, TX 77502-1117
(713) 473-2020
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
—
1572786-01
—
TX
Enumeration date
03/16/2006
Last updated
05/11/2010
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