| NPI | 1871714683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANN CRAIG MARTIN Owner Professional Association 817-467-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 04835TG) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2015-08-25 |