| NPI | 1487158887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY JOSEPH Director 469-421-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-12-18 |