Central Texas Eye Clinic, PA

NPI #1487714374 in Waco, Texas

Provider Information

NPI Number: 1487714374
Entity Type: Organization
Organization Name: Central Texas Eye Clinic, PA
Primary Specialty: Ophthalmology
Enumeration Date: Dec 11, 2006
Last Updated: Jun 9, 2009

Practice Location

Address: 601 W HIGHWAY 6
Address 2: SUITE 108
City: Waco
State: Texas
ZIP Code: 76710-5591
Phone: (254) 752-8328

Authorized Official

Name: DR. LEWIS RICHARD KANNWISCHER, M.D.
Title: SECRETARY
Phone: (254) 752-8328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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