| NPI | 1508324278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA BLOUNT Operations Manager 512-533-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2021-08-09 |