| NPI | 1013169044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. MCANDREW Owner 432-699-4827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 5302TG OPTOMETRY) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |