Beverly Ann Wiatrek O.D.

NPI 1083678353 - Optometrist - 152W00000X

NPI Details
NPI 1083678353
Gender Female
Enumeration Date 04/13/2006
Last Updated 12/02/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
3310 E SOUTHCROSS BLVD
SAN ANTONIO TX, 78223-1922, US
Phone (210) 534-8863
Fax (210) 534-8551
Business Location
3310 E SOUTHCROSS BLVD
SAN ANTONIO TX, 78223-1922, US
Phone (210) 534-8863
Fax (210) 534-8551
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 2472TG
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According to our database, Beverly Ann Wiatrek O.D. NPI is 1083678353, taxonomy code is 152W00000X and license number is 2472TG, license state is located at Texas. Beverly Ann Wiatrek O.D. physically located at 3310 E Southcross Blvd, San Antonio TX, 78223-1922. NPI Number Beverly Ann Wiatrek O.D. has the Individual type.

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1083678353 NPI number is provided on an as is basis without warranty of any kind. 1083678353 is maintained by the National Plan & Provider Enumeration System. The contents of Beverly Ann Wiatrek O.D. are for informational purposes only.