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 |