| NPI | 1649520164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN R BRISTOL Owner 512-263-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5613TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7658TG) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-10-12 |