Organization
COLUMBUS EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB D. MOORE (ADMINISTRATOR)
(979) 732-5771
Entity
Organization
Contact information
Practice address
100 SWEETBRIAR DR, COLUMBUS, TX 78934-3008
(979) 732-5771
(979) 732-6922
Mailing address
100 SWEETBRIAR DR, COLUMBUS, TX 78934-3008
(979) 732-5771
(979) 732-6922
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081861902
—
TX
05
—
081861903
—
TX
Enumeration date
04/28/2006
Last updated
11/30/2010
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