Healthcare Provider Details

I. General information

NPI: 1043462229
Provider Name (Legal Business Name): EACTX PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 ROUND ROCK AVE STE 100
ROUND ROCK TX
78681-4010
US

IV. Provider business mailing address

2120 ROUND ROCK AVE STE 100
ROUND ROCK TX
78681-4010
US

V. Phone/Fax

Practice location:
  • Phone: 512-244-1991
  • Fax: 512-244-1786
Mailing address:
  • Phone: 512-244-1991
  • Fax: 512-244-1786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGELA LAAKE
Title or Position: OFFICE MANAGER
Credential:
Phone: 512-244-1991