| NPI | 1780841411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE B MOSBACHER Owner Operator 214-744-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: TX 3315T) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2022-05-14 |