MEDICARE: CORNEA ASSOCIATES OF TEXAS, 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

General Provider Information

NPI Number	:	1700290673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNEA ASSOCIATES OF TEXAS, PA

Provider Business Mailing Address
First Line	:	10740 N CENTRAL EXPY
Second Line	:	SUITE 350
City	:	DALLAS
State	:	TX
Zip	:	75231-2161
Country	:	US
Telephone Number	:	214-692-0146
Fax Number	:	214-692-1698

Provider Business Practice Location Address
First Line	:	6000 W SPRING CREEK PKWY
Second Line	:	SUITE 100
City	:	PLANO
State	:	TX
Zip	:	75024-3569
Country	:	US
Telephone Number	:	972-612-9555
Fax Number	:	972-612-9550

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HENRY GELENDER
Credential	:	M.D.
Telephone Number	:	214-692-0146

Provider Enumeration Date	:	06/18/2014
Last Update Date	:	02/13/2017

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