| NPI | 1659580090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID REAGAN Owner 972-938-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: TX 8283) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |