| NPI | 1366050387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATHYADEEPAK RAMESH Owner 817-675-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2023-01-13 |