Organization
TEXOMA REGIONAL EYE INSTITUTE, LLC
Active
Organization
TEXOMA REGIONAL EYE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN WALLACE CROFT M.D. (PHYSICIAN)
(580) 924-5211
Entity
Organization
Contact information
Practice address
5389 N 1ST AVE, DURANT, OK 74701-2599
(580) 924-2712
Mailing address
5389 N 1ST AVE, DURANT, OK 74701-2599
(580) 924-2712
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2010
Last updated
03/24/2011
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