| NPI | 1730737495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FUAD MAKKOUK Owner, Provider 512-826-1698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-06-07 |