Eye Plastic Surgery Associates PA

NPI #1124165808 in Dallas, Texas

Provider Information

NPI Number
1124165808
Entity Type
Organization
Organization Name
Eye Plastic Surgery Associates PA
Primary Specialty
Ophthalmology
Enumeration Date
Jan 31, 2007
Last Updated
Nov 2, 2022

Practice Location

Address
7777 FOREST LANE
Address 2
SUITE C-710
City
Dallas
State
Texas
ZIP Code
75230-2571
Phone
(972) 566-2020

Authorized Official

Name
MARK LAWRENCE MAZOW
Title
MD
Phone
(972) 566-2020

Specialties & Taxonomy Codes

Specialty
Ophthalmology

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