| NPI | 1003205360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS CHIZOMAM OKEREKE President 281-501-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX K9375) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX K9375) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |