| NPI | 1033319108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINA STURGEON Optometrist/Officer 512-328-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 6881T) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |