NPI | 1538549761 |
---|---|
Entity Type | Organization |
Authorized Contact | IREDIA JOE EKUKPE Owner / O PT Ometrist 214-941-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6330TG) |
Enumeration Date | 2015-06-03 |
Last Update Date | 2015-06-03 |