| NPI | 1083706352 |
|---|---|
| Doing Business As | EAST TEXAS VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT MCGOUGH Optometrist 903-593-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 3363TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA LA962) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-06-23 |