| NPI | 1316309594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA M MOORE Patient Account Manager 512-314-1632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2024-01-03 |