Organization
ADVANCED GLAUCOMA DIAGNOSTIC AND TREATMENT CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GOODE (OWNER)
(817) 332-4005
Entity
Organization
Contact information
Practice address
200 W MAGNOLIA AVE, 100, FORT WORTH, TX 76104-7644
(817) 332-4005
(817) 332-4039
Mailing address
200 W MAGNOLIA AVE, 100, FORT WORTH, TX 76104-7644
(817) 332-4005
(817) 332-4039
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/23/2006
Last updated
08/22/2020
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