| NPI | 1467087544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE L NEAL Assistant Secretary 469-214-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |