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Glaucoma Specialists Of Texas Shp Pa
Clinic/Center in Grapevine, Texas
NPI 1386728756

Glaucoma Specialists Of Texas Shp Pa is a Clinic/Center based in Grapevine, TX. Glaucoma Specialists Of Texas Shp Pa practices in Grapevine, TX. The NPI Number for Glaucoma Specialists Of Texas Shp Pa is 1386728756 and holds a License No. (Texas).

The current practice location address for Glaucoma Specialists Of Texas Shp Pa is 1602 Lancaster Dr, Grapevine, TX and can be reached out via phone at 817-885-7878 and via fax at 817-885-7444.

Location: 1602 Lancaster Dr, Grapevine, TX, 76051-3574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386728756
Provider Name
Glaucoma Specialists Of Texas Shp Pa
Credential
Provider Entity Type
Organization
Address
1602 Lancaster Dr, Grapevine, TX, 76051-3574
Phone Number
817-885-7878
Fax Number
817-885-7444
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006MN 01 TX BLUE CROSS BLUE SHIELD
1609869692 01 TX NPI - PROVIDER
DD4140 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1602 Lancaster Dr
City
Grapevine
State
Texas
Zip
76051-3574
Phone Number
817-885-7878
Fax Number
817-885-7444
person
Provider Business Mailing Address Details
Address
1602 Lancaster Dr
City
Grapevine
State
Texas
Zip
76051-3574
Phone Number
817-885-7878
Fax Number
817-885-7444
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
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).
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