| NPI | 1568500916 |
|---|---|
| Doing Business As | NORTHSIDE FAMILY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | MARTHA ENRIQUETA DIAZ President 713-742-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2009-07-02 |