Organization
SOUTH TEXAS EYE SURGICENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT T MCMAHON MD (PRESIDENT OWNER)
(361) 578-0107
Entity
Organization
Contact information
Practice address
4406 N LAURENT, VICTORIA, TX 77901-2791
(361) 578-0107
(361) 578-1320
Mailing address
4406 N LAURENT, VICTORIA, TX 77901-2791
(361) 578-0107
(361) 578-1320
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000144
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085879701
—
TX
01
—
1679554349
NPI
TX
Enumeration date
11/09/2005
Last updated
05/05/2010
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