Organization
TEXARKANA EYE ASSOCIATES
Active
Parent organization
TEXARKANA EYE ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXARKANA EYE ASSOCIATES
Authorized official
DR. ELVIN W. FENTON OD (OWNER)
(903) 838-0783
Entity
Organization
Contact information
Practice address
1425 E LINCOLN RD, SUITE A-1, IDABEL, OK 74745-7345
(580) 286-6000
(903) 831-6145
Mailing address
2703 RICHMOND RD, TEXARKANA, TX 75503-2328
(903) 838-0783
(903) 831-6145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2625
OK
Other
Enumeration date
05/05/2010
Last updated
01/14/2011
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