# RICHARD B CULBERT MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Retina Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962450668
- **Authorized official:** LUAN HOLDRIDGE BBA (PRACTICE MANAGER)
- **Authorized official phone:** (432) 617-0181

## Contact information

- **Practice address:** 10100 LOOP 40, MIDLAND, TX 79706-2205
- **Practice address phone:** (432) 332-2682
- **Practice address fax:** (432) 582-2557
- **Mailing address:** PO BOX 61880, MIDLAND, TX 79711-1880
- **Mailing address phone:** (432) 617-0181
- **Mailing address fax:** (432) 563-0656

## Taxonomy

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

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 03/29/2022
