| NPI | 1972772689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODDY T HAMILTON O PT Ician 432-694-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX DR1707) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-07-22 |