| NPI | 1043414014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA M MOORE Patient Account Manager 512-314-1632 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX G3889) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2024-01-03 |