| NPI | 1336269943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R. ELIZONDO Therapeutic O PT Ometry Doctor 210-736-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 1669t) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-02-29 |