| NPI | 1215254966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN EDUARDO RAMIREZ Owner 915-204-1904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX M6841) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 7106TG) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-07-13 |