| NPI | 1407027212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES N. TISDALE President Corporation 361-578-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 02309TG) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2014-05-13 |