Organization
SOUTHWEST OPHTHALMOLOGY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MARTIN BARKE M.D. (OWNER)
(817) 265-8525
Entity
Organization
Contact information
Practice address
910 N DAVIS DRIVE, SUITE 100, ARLINGTON, TX 76012-3200
(817) 265-8525
(817) 860-6056
Mailing address
910 N DAVIS DRIVE, SUITE 100, ARLINGTON, TX 76012-3200
(817) 265-8525
(817) 860-6056
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J0439
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172984001
—
TX
01
—
DC4954
RAILROAD MEDICARE
TX
Enumeration date
05/03/2007
Last updated
07/11/2011
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