| NPI | 1689086365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DOUGLAS KELLY Authorized Official 512-443-9715 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX G2318) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2023-08-10 |