Retina Consultants Pa

LBN: Retina Consultants Pa
Retina Consultants Pa is an health care organization with primary practice located at 909 9Th Avenue Sutie 404, Fort Worth TX 76104-3918. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Retina Consultants Pa can be contacted via phone (817) 332-1782, or through Cowan, Gary Milton via phone (817) 332-1782.

Contact Information

Primary practice address
909 9Th Avenue Sutie 404 Fort Worth TX 76104-3918
Phone: (817) 332-1782
Fax: (817) 336-8619
Website:
Map and Directions
Authorized official contact:
Name: Cowan, Gary Milton Doctor of Medicine (MD)
Phone: (817) 332-1782

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1154303055
LBN Legal business name Retina Consultants Pa
DBA Doing business as
Authorized official Cowan, Gary Milton Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2005
Last updated Jan 11th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154303055 NPPES
Texas MEDICAID 082344501

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