Retina Consultants PA

NPI #1154303055 in Fort Worth, Texas

Provider Information

NPI Number: 1154303055
Entity Type: Organization
Organization Name: Retina Consultants PA
Primary Specialty: Ophthalmology
Enumeration Date: Nov 16, 2005
Last Updated: Jan 11, 2010

Practice Location

Address: 909 9TH AVENUE
Address 2: SUTIE 404
City: Fort Worth
State: Texas
ZIP Code: 76104-3918
Phone: (817) 332-1782

Authorized Official

Name: GARY MILTON COWAN, MD
Title: VICE PRESIDENT
Phone: (817) 332-1782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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