TEXAS REGIONAL EYE CENTER ASC LLC NPI 1972675668

NPI Information

NPI: 1972675668
Provider Name: TEXAS REGIONAL EYE CENTER ASC LLC

Doing Business As: TEXAS REGIONAL EYE CENTER ASC LLC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3811 SAGEBRIAR DR
BRYAN, TX
ZIP 77802
Phone: (979) 774-0498
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TEXAS REGIONAL EYE CENTER ASC LLC is an ambulatory surgical clinic center in Bryan, TX. TEXAS REGIONAL EYE CENTER ASC LLC NPI is 1972675668. The provider is registered as an organization entity type.
The provider Is Doing Business As Texas Regional Eye Center Asc Llc.

The provider's business location address is:

3811 SAGEBRIAR DR
BRYAN, TX
ZIP 77802-107
Phone: (979) 774-0498
Fax: (979) 774-7673

The provider's authorized official is William Riggs .
The authorized official title is President and has the following contact phone number (979) 774-0498.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 9/23/2020.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	008244	TEXAS	Yes

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
1	178028001	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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