Organization
GLAUCOMA ASSOCIATES OF TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD L FELLMAN MD (PRESIDENT)
(214) 360-0000
Entity
Organization
Contact information
Practice address
417 W MAGNOLIA AVE, FORT WORTH, TX 76104-7618
(214) 360-0000
Mailing address
417 W MAGNOLIA AVE, FORT WORTH, TX 76104-7618
(214) 360-0000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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