| NPI | 1093540973 |
|---|---|
| Doing Business As | DE LA PENA EYE CLINIC, A MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BRIAN RASMUS VP, CFO Tpr 469-893-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |