| NPI | 1437442266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY PHUONG PHAN Optometrist 512-251-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX 7380T) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |