Organization
LAS COLINAS OPHTHALMOLOGY ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE F. KLEIN M.D. (PRESIDENT)
(972) 556-1915
Entity
Organization
Contact information
Practice address
440 W IH 635 FWY, SUITE 355, IRVING, TX 75063-3768
(972) 556-1915
(972) 556-1877
Mailing address
440 W IH 635 FWY, SUITE 355, IRVING, TX 75063-3768
(972) 556-1915
(972) 556-1877
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F6623
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00EZ89
MEDICARE
TX
05
—
033085401
—
TX
Enumeration date
05/13/2010
Last updated
05/13/2010
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