Individual
DR. KALPANA KASALA JATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4337 TERAVISTA CLUB DR STE 100, ROUND ROCK, TX 78665-1647
(512) 244-7200
(512) 868-3907
Mailing address
4337 TERAVISTA CLUB DR STE 100, ROUND ROCK, TX 78665-1647
(512) 244-7200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M8058
TX
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
M8058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
830503079
TAX ID
TX
Enumeration date
07/09/2006
Last updated
03/04/2026
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