| NPI | 1487612669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA T GUZMAN Office Mgr 214-826-8201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX J1316) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX D4034) |
| 305R00000X Preferred Provider Organization | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 4429520001) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-07-21 |