| NPI | 1578021804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANE PARKS Managing LLC Member 210-387-2756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-04-18 |