Retina Institute Of Texas Pa in Dallas - Retina Specialist
Retina Institute Of Texas Pa - NPI 1578673026
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 1578673026. 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 | 1578673026 |
|---|---|
| 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 |
|---|---|---|---|
| 200052590A | OK | -- | |
| 168301002 | AR | -- | |
| CJ5857 | TX | RR MEDICARE | |
| 156683801 | TX | -- | |
| 00T587 | TX | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Retina Institute Of Texas Pa?
The Retina Institute Of Texas Pa has been issued the NPI (National Provider Identifier) 1578673026 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Retina Institute Of Texas Pa is located?
The Retina Institute Of Texas Pa is situated at the following address: 3414 Oak Grove Ave, Dallas, TX, 752042375.
What is Retina Institute Of Texas Pa's area of expertise and its corresponding taxonomy classification?
The Retina Institute Of Texas Pa's field of specialization is Retina Specialist, and it falls under the taxonomy code 207Wx0107X, which categorizes healthcare providers based on their areas of practice.
When did Retina Institute Of Texas Pa receive its 1578673026 assignment?
The Retina Institute Of Texas Pa was assigned its 1578673026 on 2006-08-30, which is the date when this unique identifier was issued to the organization.
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.