Organization
TEXAS EYELID CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN C AUGUSTAT MD (PRESIDENT)
(817) 338-4183
Entity
Organization
Contact information
Practice address
909 9TH AVE, STE 401, FORT WORTH, TX 76104-3903
(817) 338-4183
(817) 338-0938
Mailing address
909 9TH AVE, STE 401, FORT WORTH, TX 76104-3903
(817) 338-4183
(817) 338-0938
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D6229
TX
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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