Provider Demographics
NPI:1104044106
Name:NEWMAN & TAUB VISION CENTER, PLLC
Entity Type:Organization
Organization Name:NEWMAN & TAUB VISION CENTER, PLLC
Other - Org Name:NEWMAN AND TAUB CATARACT AND LASER CENTER, PLL
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PARTNER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAUB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-641-7777
Mailing Address - Street 1:5744 LBJ FREEWAY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240
Mailing Address - Country:US
Mailing Address - Phone:972-392-2020
Mailing Address - Fax:972-392-4054
Practice Address - Street 1:5744 LBJ FREEWAY
Practice Address - Street 2:SUITE 150
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6322
Practice Address - Country:US
Practice Address - Phone:972-392-2020
Practice Address - Fax:972-392-4054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144133901Medicaid
TX000404KOtherBLUE SHIELD GROUP NUMBER