| NPI | 1356535488 |
|---|---|
| Former Legal Business Name | VISION SOURCE-DEERBROOK PC |
| Entity Type | Organization |
| Authorized Contact | AMY PARKER Authorized Official 281-446-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 03077TG) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2024-04-16 |