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Organization
STEVEN W. COBURN, O.D., P.A.
Active
Organization
STEVEN W. COBURN, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN W. COBURN O.D. (PRESIDENT)
(940) 566-3413
Entity
Organization
Contact information
Practice address
3327 COLORADO BLVD, SUITE 300, DENTON, TX 76210-6865
(940) 566-3413
(940) 381-1828
Mailing address
3327 COLORADO BLVD, SUITE 300, DENTON, TX 76210
(940) 566-3413
(940) 381-1828
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2596TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077FE
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/17/2007
Last updated
02/29/2008
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