Texas Retina Associates

LBN: Texas Retina Associates
Texas Retina Associates is an health care organization with primary practice located at 801 W Randol Mill Rd Ste 101 , Arlington TX 76012-2505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Texas Retina Associates can be contacted via phone (817) 261-9625, or through Brockette, Jefferey via phone (214) 692-6941.

Contact Information

Primary practice address
801 W Randol Mill Rd Ste 101 Arlington TX 76012-2505
Phone: (817) 261-9625
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brockette, Jefferey
Phone: (214) 692-6941

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1851300792
LBN Legal business name Texas Retina Associates
DBA Doing business as
Authorized official Brockette, Jefferey
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2006
Last updated May 16th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851300792 NPPES
Texas MEDICAID 094850707

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