Provider Demographics
NPI:1053879197
Name:COMBER HOLDINGS PLLC DBA DALLAS RETINA CENTER
Entity type:Organization
Organization Name:COMBER HOLDINGS PLLC DBA DALLAS RETINA CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HEMANG
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-430-8375
Mailing Address - Street 1:6000 W SPRING CREEK PKWY STE 215
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3578
Mailing Address - Country:US
Mailing Address - Phone:469-430-8375
Mailing Address - Fax:469-925-2850
Practice Address - Street 1:6000 W SPRING CREEK PKWY STE 215
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3578
Practice Address - Country:US
Practice Address - Phone:469-430-8375
Practice Address - Fax:469-925-2850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX396458701Medicaid