Texarkana Eye Associates-Broken Bow Branch

NPI #1467819730 in Broken Bow, Oklahoma

Provider Information

NPI Number: 1467819730
Entity Type: Organization
Organization Name: Texarkana Eye Associates-Broken Bow Branch
Primary Specialty: Optometrist
Enumeration Date: Jan 18, 2016
Last Updated: Oct 3, 2016

Practice Location

Address: 511 S PARK DR
Address 2: SUITE A
City: Broken Bow
State: Oklahoma
ZIP Code: 74728-5329
Phone: (580) 584-3434

Authorized Official

Name: ELVIN W FENTON, OD
Title: OWNER
Phone: (903) 838-0783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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