NPI | 1871633966 |
---|---|
Doing Business As | VISION SOURCE GREENWAY-GALLERIA, PA |
Entity Type | Organization |
Authorized Contact | MOES R. NASSER President 713-995-0042 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX 3077TG) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2020-08-22 |