Individual
OREN N FASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 S HAMPTON RD STE 500, DALLAS, TX 75224-1654
(214) 330-3937
(214) 330-3939
Mailing address
2301 S HAMPTON RD STE 500, DALLAS, TX 75224-1654
(214) 330-3937
(214) 330-3939
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N0758
TX
207W00000X
Ophthalmology Physician
N0758
TX
207WX0120X
Cornea and External Diseases Specialist Physician
N0758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800646
UHC
GA
01
—
10061047
AMERIGROUP
GA
01
—
257628
COVENTRY HMO
GA
01
—
294525
WELLCARE
GA
01
—
3704635
AETNA HMO
GA
01
—
373517
BCBS
GA
01
—
513957
BCBS
GA
05
—
575607154
—
TX
05
—
575607154A
—
GA
05
—
575607154B
—
GA
05
—
575607154C
—
GA
01
—
7325471
AETNA
GA
01
—
906070
COVENTRY PPO
GA
01
—
951740
BCBS
GA
01
—
P00222036
RR MEDICARE
GA
Enumeration date
06/30/2005
Last updated
06/18/2021
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