| NPI | 1346787157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM-BINH THI MAI CEO 817-617-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: TX Q4189) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2020-07-27 |