Organization
PEDIATRIC OPHTHALMOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA LAIS BEAUCHAMP MD (MANAGING PARTNER)
(214) 369-6434
Entity
Organization
Contact information
Practice address
7150 GREENVILLE AVE STE 305, DALLAS, TX 75231-5185
(214) 369-6434
(214) 639-6273
Mailing address
7150 GREENVILLE AVE STE 305, DALLAS, TX 75231-5185
(214) 369-6434
(214) 639-6273
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094814301
—
TX
01
—
CD8338
RAILROAD MEDICARE
TX
Enumeration date
03/14/2007
Last updated
11/14/2025
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