| NPI | 1073136685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELI MARIE CRABTREE Medical Staff Services Coordinator 512-314-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |