Organization
GLAUCOMA SPECIALISTS OF TEXAS SHP PA
Active
Other names
Glaucoma Consultants of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA A SMYTHE M D (PHYSICIAN/CHIEF MEDICAL OFFICER)
(817) 885-7878
Entity
Organization
Contact information
Practice address
1602 LANCASTER DR, SUITE 102, GRAPEVINE, TX 76051-3574
(817) 885-7878
(817) 885-7444
Mailing address
1602 LANCASTER DR, SUITE 102, GRAPEVINE, TX 76051-3574
(817) 885-7878
(817) 885-7444
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006MN
BLUE CROSS BLUE SHIELD
TX
01
—
1609869692
NPI - PROVIDER
TX
01
—
DD4140
RAILROAD MEDICARE
TX
Enumeration date
10/24/2006
Last updated
06/30/2021
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