| NPI | 1235147661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MARTIN TESSER Owner/President 314-469-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 108445) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-12-17 |