NPI | 1720561004 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA TRAN CARAPUCCI Director 832-393-4851 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local |
Enumeration Date | 2018-09-12 |
Last Update Date | 2025-10-09 |