Organization
SOUTH EAST TEXAS LASER EYE INSTITUTE
Active
Organization
SOUTH EAST TEXAS LASER EYE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ K. SINGLA M.D. (OWNER)
(409) 985-2745
Entity
Organization
Contact information
Practice address
3000 39TH ST, SUITE 105, PORT ARTHUR, TX 77642-5517
(409) 985-2745
(409) 985-2661
Mailing address
3000 39TH ST, SUITE 105, PORT ARTHUR, TX 77642-5517
(409) 985-2745
(409) 985-2661
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006HQ
BLUECROSSBLUE SHIELD
TX
Enumeration date
07/04/2006
Last updated
08/22/2020
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