Organization
TEXAS OCULOPLASTIC CONSULTANTS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKRAM D DURAIRAJ MD (PARTNER)
(512) 458-2141
Entity
Organization
Contact information
Practice address
3705 MEDICAL PKWY, SUITE 120, AUSTIN, TX 78705-1019
(512) 458-2141
(512) 458-4824
Mailing address
3705 MEDICAL PKWY, SUITE 120, AUSTIN, TX 78705-1019
(512) 458-2141
(512) 458-4824
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086AZ
BCBS
TX
05
—
095049501
—
TX
01
—
180024852
RAILROAD MEDICARE
TX
Enumeration date
01/23/2006
Last updated
10/11/2022
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