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Organization
MIDLAND EYE CARE, PA
Active
Organization
MIDLAND EYE CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRIYUTA THOTA OD (OPTOMETRIST)
(281) 989-3155
Entity
Organization
Contact information
Practice address
4400 N MIDLAND DR STE 404, MIDLAND, TX 79707-3388
(432) 695-6259
Mailing address
4400 N MIDLAND DR STE 404, MIDLAND, TX 79707-3388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6263
TX
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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