1356645964 NPI number — NACOGDOCHES EYE ASSOCIATES, PLLC

Table of content: (NPI 1356645964)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356645964 NPI number — NACOGDOCHES EYE ASSOCIATES, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NACOGDOCHES EYE ASSOCIATES, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356645964
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/23/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 632600
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NACOGDOCHES
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75963-2600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
936-564-7661
Provider Business Mailing Address Fax Number:
936-564-6622

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3208 N UNIVERSITY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NACOGDOCHES
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75965-2633
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
936-564-7661
Provider Business Practice Location Address Fax Number:
936-564-6622
Provider Enumeration Date:
12/23/2010

Additional Information

Authorized Official

Authorized Official Last Name:
RISNER
Authorized Official First Name:
ASHLEY
Authorized Official Middle Name:
HALBERT
Authorized Official Title or Position:
CO OWNER
Authorized Official Telephone Number:
936-564-7661

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  06101TG , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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