| NPI | 1124131511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL FRANCES FOWLER Owner Sec Treasurer 903-793-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |