NPI | 1134395346 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT GARY CARRERA Owner 210-658-3820 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX DR3174) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2012-06-27 |