Provider Demographics
NPI:1427714278
Name:TEXAS STYLE EYEWEAR ASSOCIATES LLC
Entity type:Organization
Organization Name:TEXAS STYLE EYEWEAR ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-332-1559
Mailing Address - Street 1:12430 STATE HIGHWAY 249 STE E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77086-3339
Mailing Address - Country:US
Mailing Address - Phone:281-999-3131
Mailing Address - Fax:
Practice Address - Street 1:12430 STATE HIGHWAY 249 STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086-3339
Practice Address - Country:US
Practice Address - Phone:281-999-3131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty