NPI | 1023347440 |
---|---|
Entity Type | Organization |
Authorized Contact | TUYEN PHUONG TRAN O PT Ometrist 832-689-2695 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 6627 TG) |
Enumeration Date | 2009-12-14 |
Last Update Date | 2009-12-14 |