| NPI | 1578898532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMALIA DAVIS Clinical Director 832-592-9650 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: TX 7041T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7041T) |
| 152WP0200X Optometrist, Pediatrics (Licence: TX 7041t) | |
| 152WS0006X Optometrist, Sports Vision (Licence: TX 7041T) | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2020-02-13 |