| NPI | 1215391404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDRA KHALID Provider/Managing Member 832-998-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7929TG) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-10-10 |