| NPI | 1396870028 |
|---|---|
| Doing Business As | BRAZOSPORT EYE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | DONNA GRADY Administrator 979-297-2961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 157) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-08-10 |