Brazosport Professional Eye Clinic Inc Valid NPI

Organization · Optometrist · Lake Jackson, TX

NPI

1073607370

Type

Organization (Type 2)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

3979TG (TX)

Enumerated

2006-10-03

Last updated

2008-12-11