Healthcare Provider Details

I. General information

NPI: 1508863994
Provider Name (Legal Business Name): RGB EYE ASSOCIATES,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 10/05/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 N HIGHWAY 75
SHERMAN TX
75090-2815
US

IV. Provider business mailing address

1625 N HIGHWAY 75
SHERMAN TX
75090-2815
US

V. Phone/Fax

Practice location:
  • Phone: 903-892-3282
  • Fax: 903-813-1872
Mailing address:
  • Phone: 903-892-3282
  • Fax: 903-813-1872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: WILLIAM BRADLEY PLAUCHE
Title or Position: PRESIDENT
Credential: MD
Phone: 903-870-0780