Advanced Glaucoma Diagnostic and Treatment Center, P.a.

NPI #1518993658 in Fort Worth, Texas

Provider Information

NPI Number: 1518993658
Entity Type: Organization
Organization Name: Advanced Glaucoma Diagnostic and Treatment Center, P.a.
Primary Specialty: Ophthalmology
Enumeration Date: Jun 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 200 W MAGNOLIA AVE
Address 2: 100
City: Fort Worth
State: Texas
ZIP Code: 76104-7644
Phone: (817) 332-4005

Authorized Official

Name: STEPHEN GOODE
Title: OWNER
Phone: (817) 332-4005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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