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Organization
RGV EYE CENTER LLC
Active
Organization
RGV EYE CENTER LLC
Active
Other names
Permian Basin Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL D SUBIA O.D. (PHYSICIAN)
(432) 333-3937
Entity
Organization
Contact information
Practice address
2260 LINDA AVE STE 201, ODESSA, TX 79763-2663
(432) 333-3937
(432) 337-3937
Mailing address
2260 LINDA AVE STE 201, ODESSA, TX 79763-2663
(432) 333-3937
(432) 337-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8D8296
—
TX
Enumeration date
09/16/2019
Last updated
11/07/2019
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