| NPI | 1295063402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBBY BENTLEY Administrator 210-220-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2009-11-28 |
| Last Update Date | 2010-02-08 |