Organization
EYE SPECIALISTS AND LASER CENTER OF TEXAS
Active
Other names
Eye and Laser Specialists of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
SUBIR S BHATIA (PHYSICIAN)
(817) 336-4401
Entity
Organization
Contact information
Practice address
1650 W ROSEDALE ST, SUITE 202, FORT WORTH, TX 76104-7400
(817) 336-4401
(817) 335-2012
Mailing address
370 W HWY 121, SUITE 105, COPPELL, TX 75019
(972) 899-8070
(972) 899-8072
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M2903
TX
Other
Enumeration date
11/05/2007
Last updated
03/03/2010
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