Provider Demographics
NPI:1427576685
Name:LONGHORN EYE CARE PLLC
Entity Type:Organization
Organization Name:LONGHORN EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-763-0869
Mailing Address - Street 1:21315 NORTH SH 130 #B
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2678
Mailing Address - Country:US
Mailing Address - Phone:512-763-0869
Mailing Address - Fax:888-965-5316
Practice Address - Street 1:21315 NORTH SH 130 #B
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2678
Practice Address - Country:US
Practice Address - Phone:512-763-0869
Practice Address - Fax:888-965-5316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty