| NPI | 1891320826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PHILLIPS Practice Manager 214-987-2875 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-04-20 |