| NPI | 1164472031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONDRA BYRD Business Office Manager 662-844-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: MS 0502562) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-03-26 |