Organization
TEXAN EYE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBERTA M MOORE (PATIENT ACCOUNT MANAGER)
(512) 314-1632
Entity
Organization
Contact information
Practice address
5717 BALCONES DR, AUSTIN, TX 78731
(512) 327-7000
(512) 314-1660
Mailing address
5717 BALCONES DR, AUSTIN, TX 78731-4203
(512) 327-7000
(512) 314-1660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
G3889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083126501
—
TX
05
—
085744301
—
TX
Enumeration date
12/23/2005
Last updated
01/03/2024
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