Retina Institute Of Texas Pa in Dallas - Retina Specialist
Retina Institute Of Texas Pa - NPI 1023128568
Retina Institute Of Texas Pa is a Retina Specialist in Dallas, Texas. Retina Institute Of Texas Pa practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Retina Institute Of Texas Pa is 1023128568. The last update date is 2022-07-21.
Retina Institute Of Texas Pa's current location address is 3414 Oak Grove Ave, Dallas, Texas. You can contact this provider via phone number 2145211153 and fax number 2142193651. The mailing address for Retina Institute Of Texas Pa is 3414 Oak Grove Ave, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Retina Institute Of Texas Pa |
|---|---|
| Address | 3414 Oak Grove Ave, Dallas, Texas |
| Phone Number | 2145211153 |
| Fax Number | 2142193651 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Kozielec F. Gregory |
| Credentials | M.D. |
| Telephone Number | 2145211153 |
NPI Number Detail
| NPI Number | 1023128568 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3414 Oak Grove Ave |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752042375 |
| Phone Number | 2145211153 |
| Fax Number | 2142193651 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85316002 | TX | -- | |
| 200052590 A | OK | -- | |
| 00T587 | TX | BCBS | |
| 168301002 | AR | -- | |
| CJ5857 | TX | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Retina Institute Of Texas Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Retina Institute Of Texas Pa has been assigned the NPI (National Provider Identifier) 1023128568. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Retina Institute Of Texas Pa is geographically located?
The Retina Institute Of Texas Pa is physically situated at the following location: 3414 Oak Grove Ave, Dallas, TX, 752042375.
What is the area of specialization for Retina Institute Of Texas Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Retina Institute Of Texas Pa is Retina Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 207Wx0107X.
On what date did the Retina Institute Of Texas Pa receive its 1023128568 assignment from the Centers for Medicare & Medicaid Services?
The Retina Institute Of Texas Pa was assigned its 1023128568 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information regarding Retina Institute Of Texas Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Retina Institute Of Texas Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.
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