| NPI | 1780864066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN BROUSSARD Optometrist 972-801-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 6060TG) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-07 |