Organization
SOUTH TEXAS EYE CONSULTANTS, PLLC
Active
Other names
South Texas Eye Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RUSSELL DIETZE M.D. (OWNER)
(361) 992-9400
Entity
Organization
Contact information
Practice address
5402 S. STAPLES, SUITE 100, CORPUS CHRISTI, TX 78411-4656
(361) 992-9400
(361) 992-8295
Mailing address
5402 S. STAPLES, SUITE 100, CORPUS CHRISTI, TX 78411-4656
(361) 992-9400
(361) 992-8295
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084894701
—
TX
Enumeration date
11/20/2006
Last updated
02/11/2009
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