Retina Of Austin, Pa

LBN: Retina Of Austin, Pa
Retina Of Austin, Pa is an health care organization with primary practice located at 2501 Rr 620 S Ste 130 , Lakeway TX 78734-6416. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as the primary health care specialty. Retina Of Austin, Pa can be contacted via phone (512) 975-2020, or through Calderon, Enrique Eduardo via phone (512) 975-2020.

Contact Information

Primary practice address
2501 Rr 620 S Ste 130 Lakeway TX 78734-6416
Phone: (512) 975-2020
Fax: (512) 975-3937
Website:
Map and Directions
Authorized official contact:
Name: Calderon, Enrique Eduardo Doctor of Medicine (MD)
Phone: (512) 975-2020

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X P2205 Texas

Profile Details

NPI number 1861918625
LBN Legal business name Retina Of Austin, Pa
DBA Doing business as
Authorized official Calderon, Enrique Eduardo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2017
Last updated Dec 31st, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861918625 NPPES
Texas Other P2205 MEDICAL LICENSE

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