| NPI | 1235222167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY L BROUSSARD Administrator 713-795-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-06-18 |