| NPI | 1457710592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES D BRODRICK Owner 210-271-7648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2017-04-25 |