Provider Demographics
NPI:1558552562
Name:EYECARE CLINICS OF TEXAS LLC
Entity Type:Organization
Organization Name:EYECARE CLINICS OF TEXAS LLC
Other - Org Name:TEXAS EYE CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-697-7500
Mailing Address - Street 1:7007 NORTH FWY
Mailing Address - Street 2:SUITE 125
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-1324
Mailing Address - Country:US
Mailing Address - Phone:713-697-7500
Mailing Address - Fax:713-697-7502
Practice Address - Street 1:7007 NORTH FWY
Practice Address - Street 2:SUITE 125
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1324
Practice Address - Country:US
Practice Address - Phone:713-697-7500
Practice Address - Fax:713-697-7502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5708TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00738ZOtherBCBS OF TEXAS
TX=========OtherTAX IDENTIFICATION NUMBER
TXU82079Medicare UPIN