| |
910 N Davis Dr, Arlington, TX 76012-3200 | |
(817) 461-0199 | |
(817) 460-2153 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 910 N Davis Dr, Arlington, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659560498 | NPI | - | NPPES |
195310101 | Medicaid | TX | |
084127201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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11442 N.central Expressway, Dallas, TX 75243 Ph: (214) 754-0000 | 910 N Davis Dr, Arlington, TX 76012-3200 Ph: (817) 461-0199 |