| NPI | 1356695506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFREDO SANDOVAL Od, Optometric Glaucoma Specialist 956-286-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8109TG) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |