| NPI | 1790022721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONRAD F. KELLY Owner/O PT Ometrist 713-450-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 3058TG) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-10 |