Organization
TEXAN EYE, PA
Active
Parent organization
TEXAN EYE, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXAN EYE, PA
Authorized official
ROBERTA M MOORE (PATIENT ACCOUNT MANAGER)
(512) 314-1632
Entity
Organization
Contact information
Practice address
1700 S. MOPAC, AUSTIN, TX 78746
(512) 327-7000
(512) 327-5200
Mailing address
5717 BALCONES DR, AUSTIN, TX 78731-4203
(512) 327-7000
(512) 314-1662
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
G3889
TX
207W00000X
Ophthalmology Physician
Primary
G3889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083126501
—
TX
Enumeration date
09/22/2006
Last updated
01/03/2024
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