| NPI | 1396798955 |
|---|---|
| Other Name | THORSTENSON EYE CLINIC, OPTICAL, ASC |
| Entity Type | Organization |
| Authorized Contact | LYLE S THORSTENSON Owner/Physician 936-564-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: TX F2064) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-10-04 |