is a Retina Specialist in San Antonio, Texas. practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for is 1083871818. The last update date is .
's current location address is 8410 Datapoint Dr, San Antonio, Texas. You can contact this provider via phone number 2109499733 and fax number 2109498925. The mailing address for is 8410 Datapoint Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 8410 Datapoint Dr, San Antonio, Texas |
| Phone Number | 2109499733 |
| Fax Number | 2109498925 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1083871818 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 8410 Datapoint Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782293220 |
| Phone Number | 2109499733 |
| Fax Number | 2109498925 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 22016 |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1875525 | MS | -- |
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