| NPI | 1700085727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN JOHANNES VEKOVIUS Doctor 318-675-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA LO 23263) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2018-08-31 |