NPI | 1417336702 |
---|---|
Doing Business As | VISION SOURCE SEGUIN |
Entity Type | Organization |
Authorized Contact | STEPHEN CLAY WOLFE President 830-305-1109 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7711TG) |
Enumeration Date | 2015-05-20 |
Last Update Date | 2015-07-16 |