Provider Demographics
NPI:1518467604
Name:TEXOMA EYE ASSOCIATES LLP
Entity Type:Organization
Organization Name:TEXOMA EYE ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CLINTON
Authorized Official - Middle Name:ARVIN
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-892-2020
Mailing Address - Street 1:2203 N FM 1417
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-2351
Mailing Address - Country:US
Mailing Address - Phone:903-892-2020
Mailing Address - Fax:
Practice Address - Street 1:170 N PRESTON RD STE 10
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-8650
Practice Address - Country:US
Practice Address - Phone:972-347-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXOMA EYE ASSOCIATES, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-15
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty