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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