institution
Dehaven Cataract Surgical Center ,inc
Ambulatory Surgical Clinic/Center in Tyler, Texas
NPI 1376540096

Dehaven Cataract Surgical Center ,inc is an Ambulatory Surgical Clinic/Center based in Tyler, TX and is specialized in Ambulatory Surgical. Dehaven Cataract Surgical Center ,inc practices in Tyler, TX. The NPI Number for Dehaven Cataract Surgical Center ,inc is 1376540096 and holds a License No. 000228 (Texas).

The current practice location address for Dehaven Cataract Surgical Center ,inc is 1424 East Front, Tyler, TX and can be reached out via phone at 903-595-7510 and via fax at 903-526-5491. You can also correspond with Dehaven Cataract Surgical Center ,inc through the mailing address at PO BOX 130639, TYLER, TX - 75713-0639 (mailing address contact number: 903-595-7510).

Location: 1424 East Front, Tyler, TX, 75713-0639
institution
Provider Profile Details
NPI Number
1376540096
Provider Name
Dehaven Cataract Surgical Center ,inc
Credential
Provider Entity Type
Organization
Address
1424 East Front, Tyler, TX, 75713-0639
Phone Number
903-595-7510
Fax Number
903-526-5491
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
085855701 05 TX
HH1281 01 TX BLUE CROSS BLUE SHIELD
7170358 01 TX AETNA
institution
Provider Business Practice Location Address Details
Address
1424 East Front
City
State
Zip
75702-8501
Phone Number
903-595-7510
Fax Number
903-526-5491
person
Provider Business Mailing Address Details
Address
Po Box 130639
City
State
Zip
75713-0639
Phone Number
903-595-7510
Fax Number
903-526-5491
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
000228 (Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
000228 (Texas)
Definition
Definition to come...
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