NPI | 1821210170 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SAUL MORA Owner , O PT Ometrist 956-726-1007 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 3202TG) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2011-06-01 |