| NPI | 1508055054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY FERREE Executive Administrator 281-488-7213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2016-02-02 |