| NPI | 1588016299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD A HOLLSTEN President 210-616-0739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2020-01-06 |