NPI | 1003911629 |
---|---|
Entity Type | Organization |
Authorized Contact | SIDNEY K GICHERU President / Physician 214-574-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX K8626) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 0066TG) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2020-07-20 |