NPI | 1396932232 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG R PATAKY Board Certified Ocularist 512-452-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1700X Technician/Technologist, Ocularist |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-09-25 |
Last Update Date | 2011-05-26 |