| NPI | 1518241512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHABANA Q KHAN Doctor Of O PT Ometry 972-540-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6442TG) |
| Enumeration Date | 2011-10-09 |
| Last Update Date | 2021-01-14 |