| NPI | 1114464286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE S ROWE Billing Speacialist 830-372-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: TX 6746 TG) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |