Organization
EYES OVER TEXAS EYE CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH P WHITFORD M.D. (PRESIDENT)
(281) 398-0747
Entity
Organization
Contact information
Practice address
21318 PROVINCIAL BLVD, KATY, TX 77450-7580
(281) 398-0747
(281) 398-9825
Mailing address
21318 PROVINCIAL BLVD, KATY, TX 77450-7580
(281) 398-0747
(281) 398-9825
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F4680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F84G
BLUE CROSS BLUE SHIELD
TX
05
—
131630903
—
TX
01
—
180024649
RAILROAD MEDICARE
TX
Enumeration date
08/20/2009
Last updated
10/28/2010
Update your record
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