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 |