Dallas-Ft Worth Retina LLC

NPI #1205278215 in Richardson, Texas

Provider Information

NPI Number: 1205278215
Entity Type: Organization
Organization Name: Dallas-Ft Worth Retina LLC
Primary Specialty: Ophthalmology
Enumeration Date: Jul 19, 2013
Last Updated: Dec 11, 2013

Practice Location

Address: 399 MELROSE DR
Address 2: SUITE D
City: Richardson
State: Texas
ZIP Code: 75080-4415
Phone: (877) 683-3702

Authorized Official

Name: GEORGE MATTHEWS
Title: MD
Phone: (877) 683-3702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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