Provider Demographics
NPI:1447693825
Name:NORTH TEXAS CENTER FOR SIGHT, P.A.
Entity type:Organization
Organization Name:NORTH TEXAS CENTER FOR SIGHT, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:COT
Authorized Official - Phone:940-243-2020
Mailing Address - Street 1:2220 EMERY ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201
Mailing Address - Country:US
Mailing Address - Phone:940-243-2020
Mailing Address - Fax:940-382-9944
Practice Address - Street 1:2220 EMERY ST
Practice Address - Street 2:SUITE 104
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201
Practice Address - Country:US
Practice Address - Phone:940-243-2020
Practice Address - Fax:940-382-9944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7162305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00663VOtherPTAN
TXH96788Medicare UPIN
TX00663VOtherPTAN