| NPI | 1164179164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELI MARIE CRABTREE Administrative Services Manager 512-314-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-17 |