| NPI | 1003322397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI DEMENT Credentialing COO Rdinator 210-249-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: 6325) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |