| NPI | 1043519556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANILOM JULIE DOUANGPHILA Sole Managing Member 214-383-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7332TG) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-04-05 |