| |
3060 Communications Pkwy, Suite 205, Plano, TX 75093-8449 | |
(972) 769-2020 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3060 Communications Pkwy, Plano, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427230531 | NPI | - | NPPES |
084127201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
11442 N. Central Expressway, Dallas, TX 75243 Ph: (214) 754-0000 | 3060 Communications Pkwy, Suite 205, Plano, TX 75093-8449 Ph: (972) 769-2020 |