MEDICARE: RETINA CONSULTANTS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154303055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RETINA CONSULTANTS PA

Provider Business Mailing Address
First Line	:	909 9TH AVENUE
Second Line	:	#404
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3918
Country	:	US
Telephone Number	:	817-332-1782
Fax Number	:	817-336-8619

Provider Business Practice Location Address
First Line	:	909 9TH AVENUE
Second Line	:	SUTIE 404
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3918
Country	:	US
Telephone Number	:	817-332-1782
Fax Number	:	817-336-8619

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	GARY MILTON COWAN
Credential	:	MD
Telephone Number	:	817-332-1782

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	01/11/2010

Similar Medicare Providers

1265423107 — MR. KEITH DENTON FISHER M.D.
Practice Location Address:

909 9TH AVENUE , #404
FORT WORTH, TX
76104-3918

Practice Phone: 817-332-1782
Practice Fax: 817-336-8619

1154312007 — DR. GARY MILTON COWAN M.D.
Practice Location Address:

909 9TH AVENUE , #404
FORT WORTH, TX
76104-3918

Practice Phone: 817-332-1782
Practice Fax: 817-336-8619

1770105504 — DFW ADVANCED SURGICAL CARE PLLC
Practice Location Address:

909 9TH AVE STE 401
FORT WORTH, TX
76104-3918

Practice Phone: 817-332-0786
Practice Fax: 817-332-0787

1063025039 — DFW ADVANCED SURGICAL GROUP
Practice Location Address:

909 9TH AVE STE 401
FORT WORTH, TX
76104-3918

Practice Phone: 817-332-0788
Practice Fax: 817-332-0787

1144925694 — MS. FATIMA YAZMIN LOMELI PA-C
Practice Location Address:

909 9TH AVE STE 401
FORT WORTH, TX
76104-3918

Practice Phone: 817-332-0786
Practice Fax:

1437544228 — NILAN NAIK M.D.
Practice Location Address:

6801 OAKMONT BLVD STE 101
FORT WORTH, TX
76132-3918

Practice Phone: 214-857-0142
Practice Fax:

Directions to “RETINA CONSULTANTS PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.