# RETINA GROUP OF TEXAS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952867996
- **Authorized official:** CHAITANYA INDUKURI MD (MANAGING PARTNER)
- **Authorized official phone:** (512) 856-5645

## Contact information

- **Practice address:** 13625 RONALD REAGAN BLVD BLDG 9, STE 100, CEDAR PARK, TX 78613-2073
- **Practice address phone:** (512) 856-5645
- **Practice address fax:** (833) 703-0656
- **Mailing address:** 13625 RONALD REAGAN BLVD BLDG 9, STE 100, CEDAR PARK, TX 78613-2073
- **Mailing address phone:** (512) 856-5645
- **Mailing address fax:** (512) 729-6441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2019
- **Last updated:** 04/13/2021