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Organization
TEXARKANA EYE ASSOCIATES
Active
Organization
TEXARKANA EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELVIN W FENTON OD (DOCTOR)
(903) 838-0783
Entity
Organization
Contact information
Practice address
2703 RICHMOND RD, TEXARKANA, TX 75503-2328
(903) 838-0783
(903) 831-6145
Mailing address
2703 RICHMOND RD, TEXARKANA, TX 75503-2328
(903) 838-0783
(903) 831-6145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5241T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E39Y
BCBS GROUP NUMBER
TX
05
—
019333601
—
TX
05
—
134244722
—
AR
01
—
8P157
AR BCBS
AR
Enumeration date
11/16/2006
Last updated
09/30/2011
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