| NPI | 1295014389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER PRADIP SUDARSHAN President 956-541-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX G5668) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 6901TG) |
| 152W00000X Optometrist (Licence: TX 3479TG) | |
| 207W00000X Ophthalmology (Licence: TX J6751) | |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2021-05-27 |