Healthcare Provider Details

I. General information

NPI: 1144479387
Provider Name (Legal Business Name): OCULOPLASTIC ASSOCIATES OF TEXAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2008
Last Update Date: 05/29/2020
Certification Date: 05/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8230 WALNUT HILL LANE SUITE 508
DALLAS TX
75231-4400
US

IV. Provider business mailing address

8230 WALNUT HILL LANE SUITE 508
DALLAS TX
75231-4400
US

V. Phone/Fax

Practice location:
  • Phone: 214-369-0555
  • Fax: 214-363-6759
Mailing address:
  • Phone: 214-369-0555
  • Fax: 214-363-6759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberF1817
License Number StateTX

VIII. Authorized Official

Name: DR. JAMES H. MERRITT
Title or Position: OWNER/SOLE MEMBER
Credential: M.D.
Phone: 214-369-0555