| NPI | 1962683557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN CASTANEDA Certified O PT Ician 210-337-5843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: TX DR4082) |
| Enumeration Date | 2007-11-24 |
| Last Update Date | 2007-11-24 |