NPI | 1083806400 |
---|---|
Entity Type | Organization |
Authorized Contact | JIM STUART DEFEO Office Manager 512-255-7987 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6067T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 6389T) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2007-08-10 |