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Organization
TOMBALL TEXAS STATE OPTICAL PA
Active
Organization
TOMBALL TEXAS STATE OPTICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS FORD (HR DIRECTOR)
(713) 453-2972
Entity
Organization
Contact information
Practice address
28301 TOMBALL PKWY, SUITE #700, TOMBALL, TX 77375-6550
(281) 351-2020
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
—
1583684-01
—
TX
Enumeration date
03/16/2006
Last updated
11/10/2009
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