| NPI | 1982779104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA TRAN MINNICK Optometrist 512-260-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-12-27 |