Active NPIOrganization

Aeg 4 Tx Professional, PLLC

Optometrist in Dallas, Texas

NPI Number1710748165
Practice location
3636 Mckinney Ave Ste 120, Dallas, TX 75204-1443
Fax
314-741-4947
Last updated
January 22, 2024

Aeg 4 Tx Professional, PLLC is a healthcare organization based in Dallas, TX. Aeg 4 Tx Professional, PLLC practices in Dallas, TX. The NPI Number for Aeg 4 Tx Professional, PLLC is 1710748165. The current practice location address for Aeg 4 Tx Professional, PLLC is 3636 Mckinney Ave Ste 120, Dallas, TX 75204-1443 and can be reached out via phone at 214-252-1800 and via fax at 314-741-4947.

Provider Profile Details

NPI Number
1710748165
Provider Name
Aeg 4 Tx Professional, PLLC
Provider Entity Type
Organization
Address
3636 Mckinney Ave Ste 120, Dallas, TX 75204-1443
Phone Number
214-252-1800
Fax Number
314-741-4947
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Melissa K Allison · Sr. Dir. Mvc · 618-462-9818
Provider Enumeration Date
January 22, 2024
Last Update Date
January 22, 2024
Certification Date
January 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3636 Mckinney Ave Ste 120
Dallas, TX 75204-1443
City
Dallas
State
Texas
Zip
75204-1443
Phone Number
214-252-1800
Fax Number
314-741-4947
Dallas, TX 75204Get directions →

Provider Business Mailing Address Details

Address
111 E 4TH St Ste 440
Alton, IL 62002-6206
City
Alton
State
IL
Zip
62002-6206
Phone Number
618-462-9818
Fax Number
314-741-4947

License Information

Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Aeg 4 Tx Professional, PLLC?

The NPI number of Aeg 4 Tx Professional, PLLC is 1710748165. It was assigned on January 22, 2024 and is currently active in the NPPES registry.

What is the specialty of Aeg 4 Tx Professional, PLLC?

Aeg 4 Tx Professional, PLLC is registered under the primary taxonomy Optometrist (code 152W00000X).

Where does Aeg 4 Tx Professional, PLLC practice?

The practice location is 3636 Mckinney Ave Ste 120, Dallas, TX 75204-1443. The office can be reached at 214-252-1800 (phone) or 314-741-4947 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710748165 directly on the NPPES registry website.

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