| NPI | 1437331477 |
|---|---|
| Doing Business As | FALCON PASS VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | LISA MARIE MAXWELL-MALIK Dr/O PT Ometrist 281-461-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 4123TG) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: TX 4123TG) |
| 152WP0200X Optometrist Pediatrics (Licence: TX 4123TG) | |
| 152WS0006X Optometrist Sports Vision (Licence: TX 4123TG) | |
| 152WV0400X Optometrist Vision Therapy (Licence: TX 4123TG) | |
| Enumeration Date | 2007-12-01 |
| Last Update Date | 2013-05-01 |