| NPI | 1104001643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL AVILA O PT Ometrist/Owner 325-692-9596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX TX6293TG) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-02-15 |