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Organization
SAMIR BHAKTA, O.D., P.A.
Active
Organization
SAMIR BHAKTA, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR BHAKTA O.D. (PRESIDENT)
(361) 854-2020
Entity
Organization
Contact information
Practice address
4109 S STAPLES ST, CORPUS CHRISTI, TX 78411-5500
(361) 854-2020
(361) 854-2021
Mailing address
4109 S STAPLES ST, CORPUS CHRISTI, TX 78411-5500
(361) 854-2020
(361) 854-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710265582
NPI
TX
01
—
TXB139928
MEDICARE PTAN
TX
Enumeration date
07/28/2011
Last updated
06/13/2024
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