| NPI | 1780014134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGAN K TO Optometrist 210-623-1741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8710TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8170TG) |
| 152W00000X Optometrist (Licence: TX 8327T) | |
| 152W00000X Optometrist (Licence: TX 8327TG) | |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2014-04-03 |