| NPI | 1023406766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE WILSON Director 936-788-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 3708TG) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-03-16 |