Provider Demographics
NPI:1528845609
Name:TEXAN COAST EYE CARE & SURGERY
Entity type:Organization
Organization Name:TEXAN COAST EYE CARE & SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HESTERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-542-3930
Mailing Address - Street 1:1100 RUBEN TORRES SR BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-1724
Mailing Address - Country:US
Mailing Address - Phone:956-542-3930
Mailing Address - Fax:956-542-0933
Practice Address - Street 1:1100 RUBEN TORRES SR BLVD STE 103
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1724
Practice Address - Country:US
Practice Address - Phone:956-542-3930
Practice Address - Fax:956-542-0933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty