| NPI | 1487753802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA M MOORE Patient Account Manager 512-314-1632 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX g3889) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX g3889) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-01-03 |