RICHARD B CULBERT MD PA NPI 1962450668

NPI Information

NPI: 1962450668
Provider Name: RICHARD B CULBERT MD PA

Doing Business As: PREMIER RETINA SPECIALISTS

Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
10100 LOOP 40
MIDLAND, TX
ZIP 79706
Phone: (432) 332-2682
Get Directions

RICHARD B CULBERT MD PA is a retina specialist ophthalmology in Midland, TX. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RICHARD B CULBERT MD PA NPI is 1962450668. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Premier Retina Specialists.

The provider's business location address is:

10100 LOOP 40
MIDLAND, TX
ZIP 79706-205
Phone: (432) 332-2682
Fax: (432) 582-2557

The provider's authorized official is Luan Holdridge .
The authorized official title is Practice Manager and has the following contact phone number (432) 617-0181.

The CLIA number assigned to this NPI record is 45D2130462 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 3/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology				No
2	207WX0107X	Ophthalmology	Retina Specialist			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	166712301	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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