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 |