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Organization
PAUL STEVEN BLACK O.D. P.A.
Active
Organization
PAUL STEVEN BLACK O.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEVEN BLACK O.D. (PRESIDENT)
(936) 291-2770
Entity
Organization
Contact information
Practice address
111 INTERSTATE 45 S, SUITE D, HUNTSVILLE, TX 77340-4244
(936) 291-2770
(936) 291-7422
Mailing address
111 INTERSTATE 45 S, SUITE D, HUNTSVILLE, TX 77340-4243
(936) 291-2770
(936) 291-7422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2821
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124695014
—
TX
Enumeration date
07/20/2012
Last updated
07/20/2012
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