Organization
NORTH DALLAS RETINA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY F JOST MD (PRESIDENT)
(214) 553-9524
Entity
Organization
Contact information
Practice address
10740 N CENTRAL EXPY, SUITE 100, DALLAS, TX 75231-2162
(214) 361-6700
(214) 361-6701
Mailing address
PO BOX 671541, DALLAS, TX 75267-1541
(214) 553-9524
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F6807
TX
Other
Enumeration date
02/02/2009
Last updated
03/20/2012
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