Organization
CENTER FOR MISALIGNED EYES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R STAGER MD (DIRECTOR)
(214) 369-6434
Entity
Organization
Contact information
Practice address
8222 DOUGLAS AVE, SUITE 400, DALLAS, TX 75225-5923
(214) 369-6434
Mailing address
8222 DOUGLAS AVE, SUITE 400, DALLAS, TX 75225-5923
(214) 369-6434
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D5479
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056XC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/28/2011
Last updated
03/21/2012
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