| NPI | 1881145019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A GOMEZ Office Assistant 281-265-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 3741TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 4348TG) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |