NPI | 1689844177 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD AARON Owner 903-838-5781 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 4764TG) |
Enumeration Date | 2008-03-11 |
Last Update Date | 2008-03-11 |