| NPI | 1790111037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J GOOD CEO 806-352-3157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX J8554) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 4641-TG) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |