Contract Details
Museum District TSO
Facility name
Willowbrook Texas State Optical
Provider ID
P000006653
Tax ID
760500576
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
17776 Tomball Pkwy Suite 15
Houston, TX 77064
United States
County
Harris
Phone
2818908480 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Optometry
Map
Address