Organization
ALLEN R. GRIFFIN
Active
Other names
Texas State Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN RAY GRIFFIN O.D. (OWNER)
(936) 336-2273
Entity
Organization
Contact information
Practice address
2718 B N. MAIN ST., LIBERTY, TX 77575
(936) 336-2273
Mailing address
2718 B N. MAIN ST., LIBERTY, TX 77575
(936) 336-2273
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2180TG
TX
Other
Enumeration date
05/02/2007
Last updated
11/30/2007
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