Texas Retina Associates

NPI #1093750853 in Lubbock, Texas

Provider Information

NPI Number: 1093750853
Entity Type: Organization
Organization Name: Texas Retina Associates
Primary Specialty: Ophthalmology
Enumeration Date: Jun 17, 2006
Last Updated: Dec 1, 2011

Practice Location

Address: 4517 98TH ST
City: Lubbock
State: Texas
ZIP Code: 79424-5013
Phone: (806) 792-0066

Authorized Official

Name: JEFFEREY T. BROCKETTE
Title: CEO
Phone: (214) 692-6941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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