| NPI | 1558048058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA CISNEROS Practice Manager 972-519-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-28 |