| NPI | 1124841705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALA KASSM Owner 281-217-3894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 207WX0107X Ophthalmology, Retina Specialist | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |