NPI | 1851623615 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES KEVIN SMITH Docotor Of Oprometry 972-223-5354 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 4711T) |
Enumeration Date | 2010-02-04 |
Last Update Date | 2010-02-04 |