| NPI | 1396416921 |
|---|---|
| Doing Business As | UT NEURO-OPHTHALMOLOGY |
| Entity Type | Organization |
| Authorized Contact | CAROL BURGESS Provider Enrollment Coordinator 865-670-6754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2022-02-18 |