Organization
AUSTIN EYE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUAD MAKKOUK MD (OWNER, PROVIDER)
(512) 826-1698
Entity
Organization
Contact information
Practice address
9707 ANDERSON MILL RD STE 230, AUSTIN, TX 78750-2300
(512) 693-9363
Mailing address
9707 ANDERSON MILL RD STE 230, AUSTIN, TX 78750-2300
(512) 826-1698
(512) 287-5585
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S0733
TEXAS STATE MEDICAL LICENSE
TX
Enumeration date
08/27/2019
Last updated
06/07/2024
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