Organization
GLAUCOMA SPECIALISTS OF TEXAS SHP PA
Active
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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