NPI | 1649215765 |
---|---|
Entity Type | Organization |
Authorized Contact | DANICA G NELSON Business Manager 318-387-2015 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: LA 124) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2020-08-22 |