Organization
ALLIANCE RETINA OF TEXAS, PLLC
Active
Other names
Alliance Retina
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM-BINH THI MAI MD (CEO)
(817) 617-7678
Entity
Organization
Contact information
Practice address
3824 N TARRANT PKWY STE 310, FORT WORTH, TX 76244-5431
(817) 617-7678
(817) 617-7681
Mailing address
3824 N TARRANT PKWY STE 310, FORT WORTH, TX 76244-5431
(817) 617-7678
(817) 617-7681
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
Q4189
TX
Other
Enumeration date
01/31/2017
Last updated
07/27/2020
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