NPI | 1356305957 |
---|---|
Other Name | DR. BEARDSLEY'S SUPER CLINIC, INC |
Entity Type | Organization |
Authorized Contact | JUAN E CERDA Owner/Provider 956-783-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2021-02-15 |