| NPI | 1083102479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYAL DESAI O PT Ometrist/Owner 512-443-4317 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8470-TG) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |