| NPI | 1770830507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUIESHA DENISE WOODS Office Manager 972-274-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 07098TG) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |