| NPI | 1225545460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPIN PRABHU KURIACHAN Owner/Manager 979-739-3387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX Q0489) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-07-10 |