| NPI | 1427325893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PHILIP SORENSEN Optometrist 832-671-1265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6106TG) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2012-11-19 |