NPI | 1225309370 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID LAMAR SPIVEY Optometrist/Owner 817-232-2321 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 4208-tg) |
Enumeration Date | 2012-01-21 |
Last Update Date | 2012-01-21 |