Organization
KOOL SHADES
Active
Other names
IZ OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
ISAI CASTILLO (OWNER)
(281) 777-5141
Entity
Organization
Contact information
Practice address
1603 SPENCER HWY, SPACE AA-1, SOUTH HOUSTON, TX 77587-3762
(713) 944-0844
Mailing address
3319 EAST PLANTATION, LAPORTE, TX 77571-7553
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/01/2010
Last updated
07/13/2010
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