Provider Demographics
NPI:1558048058
Name:TEXAS EYE AND AESTHETIC CENTER PLLC
Entity Type:Organization
Organization Name:TEXAS EYE AND AESTHETIC CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CISNEROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-519-9933
Mailing Address - Street 1:3950 W PLANO PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7805
Mailing Address - Country:US
Mailing Address - Phone:972-519-9933
Mailing Address - Fax:972-468-1434
Practice Address - Street 1:3950 W PLANO PKWY STE A
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7805
Practice Address - Country:US
Practice Address - Phone:972-519-9933
Practice Address - Fax:972-468-1434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty