| NPI | 1780604694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A LYONS President 817-329-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008300) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-03-20 |