| NPI | 1043434889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A. WHITE Certified Theurapeudic O PT Ometrist 210-481-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: TX 04599TG) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |