# RETINA INSTITUTE OF TEXAS PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RETINA INSTITUTE OF TEXAS PA
- **Other names:** Taylor Winslow Syrquin & Kozielec, P.A.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578673026
- **Legal business name:** RETINA INSTITUTE OF TEXAS PA
- **Authorized official:** DR. GREGORY F. KOZIELEC M.D. (VICE PRESIDENT)
- **Authorized official phone:** (214) 521-1153

## Contact information

- **Practice address:** 3414 OAK GROVE AVE, DALLAS, TX 75204-2375
- **Practice address phone:** (214) 521-1153
- **Practice address fax:** (214) 219-3651
- **Mailing address:** 3414 OAK GROVE AVE, DALLAS, TX 75204-2375
- **Mailing address phone:** (214) 521-1153
- **Mailing address fax:** (214) 219-3651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | NA | NULL | — |
| 207W00000X | Ophthalmology Physician | NA | — | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 07/23/2024