NPI 1154303055
Retina Consultants PA
Practice location
- Address
- 909 9th Avenue Sutie 404, Fort Worth, TX 76104-3918
- Phone
- (817) 332-1782
- Fax
- (817) 336-8619
- Mailing address
- 909 9th Avenue #404, Fort Worth, TX 76104-3918
Authorised official
- Name
- Gary Milton Cowan
- Title
- Vice President
- Phone
- (817) 332-1782
Registered specialties
Ophthalmology Physician
Primary
Registry record
- NPI
- 1154303055
- Entity type
- Organization
- NPI issued
- 16 Nov 2005
- Record last updated
- 11 Jan 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.