| NPI | 1851883011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE CHAVEZ Administrator 210-415-6931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: TX P9481) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |