| NPI | 1750515847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE PERRY Practice Administrator 210-377-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 04631TG) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2011-10-12 |