Provider Demographics
NPI:1427675073
Name:TXO 2 0 PLLC
Entity type:Organization
Organization Name:TXO 2 0 PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:785-845-9655
Mailing Address - Street 1:1201 ELM ST STE LL20
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75270-2029
Mailing Address - Country:US
Mailing Address - Phone:214-651-1000
Mailing Address - Fax:214-651-1000
Practice Address - Street 1:1201 ELM ST STE LL20
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75270-2029
Practice Address - Country:US
Practice Address - Phone:214-651-1000
Practice Address - Fax:214-665-1000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-30
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty