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Organization

TEXAS RETINA CONSULTANTS

Active
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Organization

TEXAS RETINA CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSHIL RAO MD (DIRECTOR)
(352) 422-7300
Entity
Organization

Contact information

Practice address
7323 N LOOP 1604 E BLDG 4, LIVE OAK, TX 78233-5603
(352) 422-7300
Mailing address
7323 N LOOP 1604 E BLDG 4, LIVE OAK, TX 78233-5603
(352) 422-7300

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—

Other

Enumeration date
07/21/2022
Last updated
07/28/2022
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