- Practice location
- 3636 Mckinney Ave Ste 120, Dallas, TX 75204-1443
- Phone
- 214-252-1800
- Fax
- 314-741-4947
- Last updated
- January 22, 2024
Aeg 4 Tx Professional, PLLC is a healthcare organization based in Dallas, TX. The NPI number for Aeg 4 Tx Professional, PLLC is 1710748165. The current practice location address is 3636 Mckinney Ave Ste 120, Dallas, TX 75204-1443 and the office can be reached by phone at 214-252-1800 and by fax at 314-741-4947. The NPI was assigned on January 22, 2024 and the record was last updated in NPPES on January 22, 2024.
●Provider Profile Details
- NPI Number
- 1710748165
- Provider Name
- Aeg 4 Tx Professional, PLLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Melissa K Allison · Sr. Dir. Mvc · 618-462-9818
- Enumeration Date
- January 22, 2024
- Last Update Date
- January 22, 2024
- Certification Date
- January 19, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3636 Mckinney Ave Ste 120
Dallas, TX 75204-1443 - City
- Dallas
- State
- Texas
- ZIP
- 75204-1443
- Country
- US
- Phone Number
- 214-252-1800
- Fax Number
- 314-741-4947
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Optometrist 193400000X - Single Specialty Group | 152W00000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Dallas, TX
View all providers in Dallas →?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 at npiregistry.cms.hhs.gov.