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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