| NPI | 1770558447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS MANRIQUE DE LARA Medical Director 956-661-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2008-06-10 |