NPI | 1376069146 |
---|---|
Doing Business As | SPECIALTY EYECARE OF TYLER |
Entity Type | Organization |
Authorized Contact | MICHAEL CARTER FORD Owner 903-630-5037 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Enumeration Date | 2017-08-14 |
Last Update Date | 2018-12-05 |