Organization
RETINA OF AUSTIN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE EDUARDO CALDERON MD (OWNER)
(512) 975-2020
Entity
Organization
Contact information
Practice address
2501 RR 620 S STE 130, LAKEWAY, TX 78734-6416
(512) 975-2020
(512) 975-3937
Mailing address
2501 RR 620 S STE 130, LAKEWAY, TX 78734-6416
(512) 975-2020
(512) 975-3937
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
P2205
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2205
MEDICAL LICENSE
TX
Enumeration date
08/14/2017
Last updated
12/31/2018
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