Organization
EUENE P SHOLDRA M. D. P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE P SHOLDRA M.D. (OPHTHALMOLOGIST)
(817) 596-5020
Entity
Organization
Contact information
Practice address
810 S .MAIN ST., WEATHERFORD, TX 76086-5365
(817) 596-5020
(817) 613-8890
Mailing address
810 S MAIN ST, WEATHERFORD, TX 76086-5365
(817) 596-5020
(817) 613-8890
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E9990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034228901
—
TX
Enumeration date
03/08/2012
Last updated
03/08/2012
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