| NPI | 1982931663 |
|---|---|
| Doing Business As | VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | KHALIL NICOLUS MARCHA President 281-875-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 2085T) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-12-17 |