Provider Demographics
NPI:1114542230
Name:EYE ASSOCIATES OF TEXAS, PLLC
Entity type:Organization
Organization Name:EYE ASSOCIATES OF TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAGUN
Authorized Official - Middle Name:
Authorized Official - Last Name:DHALIWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-691-4100
Mailing Address - Street 1:4900 LONG PRAIRIE RD STE 400
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-2234
Mailing Address - Country:US
Mailing Address - Phone:972-691-4100
Mailing Address - Fax:
Practice Address - Street 1:4900 LONG PRAIRIE RD STE 400
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2234
Practice Address - Country:US
Practice Address - Phone:972-691-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases SpecialistGroup - Multi-Specialty