| NPI | 1679141543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GARCIA Administrator 956-579-3369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-06-16 |