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Contact Information

TEXOMA RETINA CENTER PA
1303 N SAM RAYBURN FWY # 100
SHERMAN, TX75090-5030
 Phone: 903-337-0055
 Fax: 903-337-0060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Glaucoma Specialist

207WX0009X 18 Physician/Ophthalmology
 

Ophthalmologic Surgery

261QS0132X
 

Retina Specialist

207WX0107X 18 Physician/Ophthalmology
 

Uveitis and Ocular Inflammatory Disease

207WX0108X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for TEXOMA RETINA CENTER PA

NPI Number 1285980383
LBN Legal business name TEXOMA RETINA CENTER PA
Authorized official VIJAY KHETPAL - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2012
Last updated 07/27/2023 - About 3 years ago
Identifiers
TX License # P2474
TX Medicaid 307003901
TX Other TXB162093 PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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