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TEXOMA RETINA CENTER PA NPI 1285980383


NPI Information

NPI: 1285980383
Provider Name: TEXOMA RETINA CENTER PA

Doing Business As: TEXOMA RETINA AND GLAUCOMA

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1303 N SAM RAYBURN FWY # 100
SHERMAN, TX
ZIP 75090
Phone: (903) 337-0055
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TEXOMA RETINA CENTER PA is an ophthalmology in Sherman, TX. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. TEXOMA RETINA CENTER PA NPI is 1285980383. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Texoma Retina And Glaucoma.

The provider's business location address is:

1303 N SAM RAYBURN FWY # 100
SHERMAN, TX
ZIP 75090-030
Phone: (903) 337-0055
Fax: (903) 337-0060

The provider's authorized official is Vijay Khetpal .
The authorized official title is Director and has the following contact phone number (903) 337-0055.

The enumeration date for this NPI number is 7/26/2012 and was last updated on 7/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207WX0009XOphthalmologyGlaucoma SpecialistNo
2207WX0107XOphthalmologyRetina SpecialistNo
3207WX0108XOphthalmologyUveitis and Ocular Inflammatory DiseaseNo
4261QS0132XClinic/CenterOphthalmologic SurgeryP2474TEXASNo
5207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1TXB162093OTHERTEXASPTAN
2307003901MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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