| NPI | 1285906479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMAS CORONADO Sole Proprietor 210-271-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: TX F6541) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2014-06-03 |