Provider Demographics
NPI:1992929129
Name:EYE SURGERY OF TEXAS, P.A.
Entity type:Organization
Organization Name:EYE SURGERY OF TEXAS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:E
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-596-8000
Mailing Address - Street 1:PO BOX 260479
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-0479
Mailing Address - Country:US
Mailing Address - Phone:972-596-8000
Mailing Address - Fax:972-596-4414
Practice Address - Street 1:4108 W 15TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5819
Practice Address - Country:US
Practice Address - Phone:972-596-8000
Practice Address - Fax:972-596-4414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX250KMedicare ID - Type Unspecified