| NPI | 1902657497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ZACHARY GAY Owner 512-607-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |