| NPI | 1053550202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY G MINER Insurance Coordinator 214-361-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 02227TG) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2012-07-17 |