Provider Demographics
NPI:1760455315
Name:BINFORD, OSWALD S (MD)
Entity Type:Individual
Prefix:
First Name:OSWALD
Middle Name:S
Last Name:BINFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 HOSPITAL DR STE 110
Mailing Address - Street 2:
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75110-2489
Mailing Address - Country:US
Mailing Address - Phone:903-641-4895
Mailing Address - Fax:903-641-4894
Practice Address - Street 1:400 HOSPITAL DR
Practice Address - Street 2:STE 115
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-2489
Practice Address - Country:US
Practice Address - Phone:903-641-3850
Practice Address - Fax:903-641-3856
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2808207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8W4541OtherBLUE CROSS
TX146341603Medicaid
TXP00350126Medicare PIN
TX146341603Medicaid
TX8G9816Medicare PIN