| NPI | 1447877345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA PRAHALAD SHANMUGAM Physician 979-255-3738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |