Provider Demographics
NPI:1104621895
Name:TEXAS VISION SERVICES, PLLC
Entity type:Organization
Organization Name:TEXAS VISION SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:TRANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:817-602-9813
Mailing Address - Street 1:439 E GREENBRIAR LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-1000
Mailing Address - Country:US
Mailing Address - Phone:817-602-9813
Mailing Address - Fax:
Practice Address - Street 1:5620 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-3830
Practice Address - Country:US
Practice Address - Phone:817-602-9813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center