| NPI | 1356099352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON CHAD BAZHAW Sr Vice President Revenue Cycle 469-270-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-09-14 |