| NPI | 1063635902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON ARVIN LONG Partner 903-892-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K5338) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-09-09 |