| NPI | 1750657037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE T CHRISTIANSON Chief Operating Officer 210-697-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-04-06 |