Dehaven Eye Clinic Pa

NPI 1225037955 - Ophthalmology - 207W00000X

NPI Details
NPI 1225037955
Enumeration Date 07/15/2005
Last Updated 02/25/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name AVA B AVA
Position FINANCIAL SERVICE MANAGER
Phone (903) 595-4144
Fax (903) 526-5491
Practice Location
1424 E FRONT ST
TYLER TX, 75702-8501, US
Phone (903) 595-4144
Fax (903) 526-5491
Business Location
PO BOX 130639
TYLER TX, 75713-0639, US
Phone (903) 595-7508
Fax (903) 526-5491
Toxanomy
Taxonomy Code 207W00000X
License State
License Number
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According to our database, Dehaven Eye Clinic Pa NPI is 1225037955, taxonomy code is 207W00000X Dehaven Eye Clinic Pa physically located at 1424 E Front St, Tyler TX, 75702-8501. NPI Number 1033115704 has the healthcare provider type.

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1225037955 NPI number is provided on an as is basis without warranty of any kind. 1225037955 is maintained by the National Plan & Provider Enumeration System. The contents of Dehaven Eye Clinic Pa are for informational purposes only.