| NPI | 1134236714 |
|---|---|
| Doing Business As | THORSTENSON EYE CLINIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | PAMELA R THORSTENSON Administrator 936-564-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000273) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |