| NPI | 1659478766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY HALL Office Manager 972-724-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6853TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 5468TG) |
| 152W00000X Optometrist (Licence: TX 5408TG) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |