| NPI | 1063687606 |
|---|---|
| Doing Business As | DR ANN L WILD, OPTOMETRIST |
| Entity Type | Organization |
| Authorized Contact | ANN L WILD Owner 979-764-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 2142TG) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |