| NPI | 1497837306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON CHAD BAZHAW Sr VP Revenue Cycle 469-270-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 360) |
| Additional Taxonomies | 207WX0009X Ophthalmology Glaucoma Specialist |
| 207WX0107X Ophthalmology Retina Specialist | |
| 207WX0109X Ophthalmology Neuro-ophthalmology | |
| 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist | |
| 207WX0120X Ophthalmology Cornea and External Diseases Specialist | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2024-01-25 |