| 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 |