NPI | 1366655854 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE HOYT LEIDLEIN President 979-297-4042 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: TX j4298) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2007-05-08 |
Last Update Date | 2020-07-13 |