| NPI | 1609066448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LYNN MORENO Office Manager 325-691-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX TX 3392) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2011-03-16 |