| NPI | 1114999828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE COLLINS C.E.O. 512-451-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2023-05-23 |