| NPI | 1629190475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA DELEON Office Manager 713-978-7504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 2523TG) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 02523TG) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-08-11 |