| NPI | 1669150728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO ARIAS AMEZQUITA Anaplastologist /Ocularist 832-725-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 229N00000X Anaplastologist |
| Additional Taxonomies | 156FX1700X Technician/Technologist, Ocularist |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-02-06 |