NPI | 1730438284 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY MCCAIN Optometrist 972-279-5411 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 4399T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 5839T) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2013-08-02 |