| NPI | 1578588273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JAMES FRASIER Sole Proprietor 806-687-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX M2952) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-12-13 |