Organization
NORTH TEXAS OPHTHALMIC PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACY FLORES (ADMINISTRATOR)
(817) 566-1500
Entity
Organization
Contact information
Practice address
800 8TH AVE, STE 330, FORT WORTH, TX 76104-2601
(817) 566-1500
(682) 432-0763
Mailing address
800 8TH AVE, STE 330, FORT WORTH, TX 76104-2601
(817) 566-1500
(682) 432-0763
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
10/05/2015
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