| NPI | 1952867996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAITANYA INDUKURI Managing Partner 512-856-5645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2021-04-13 |