Provider Demographics
NPI:1902477789
Name:NORTH TEXAS OPHTHALMOLOGY ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:NORTH TEXAS OPHTHALMOLOGY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-723-1274
Mailing Address - Street 1:1704 11TH ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-5020
Mailing Address - Country:US
Mailing Address - Phone:940-723-1274
Mailing Address - Fax:940-723-1525
Practice Address - Street 1:1704 11TH ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-5020
Practice Address - Country:US
Practice Address - Phone:940-723-1274
Practice Address - Fax:940-723-1525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-02
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty