NPI | 1023008687 |
---|---|
Doing Business As | IRVING EYECARE |
Entity Type | Organization |
Authorized Contact | BRADLEY MILES KARDATZKE President Owner 972-254-0033 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2005-10-25 |
Last Update Date | 2020-08-22 |