Organization
HEART OF TEXAS OUTPATIENT CATARACT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE NEWTON (MEDICAL SECRETARY)
(325) 643-3561
Entity
Organization
Contact information
Practice address
100 S PARK DR, BROWNWOOD, TX 76801-5918
(325) 643-3561
(325) 646-0670
Mailing address
100 S PARK DR, BROWNWOOD, TX 76801-5918
(325) 643-3561
(325) 646-0670
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085890401
—
TX
01
—
490002105
PALMETTO GBA RR MEDICARE
TX
01
—
HH1285
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/20/2005
Last updated
03/17/2010
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