Bandera Eye Goods, Pa

NPI 1386712164 - Optometrist - 152W00000X

NPI Details
NPI 1386712164
Enumeration Date 12/01/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SABRINA L SABRINA
Position OWNER
Phone (830) 796-7798
Fax (830) 796-9937
Practice Location
264 HIGHWAY 16 SOUTH
BANDERA TX, 78003-3897, US
Phone (830) 796-7798
Fax (830) 796-9937
Business Location
11631 BANDERA RD
SUITE 102
SAN ANTONIO TX, 78250-6834, US
Phone (210) 509-9998
Fax (210) 509-4272
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 5452T
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According to our database, Bandera Eye Goods, Pa NPI is 1386712164, taxonomy code is 152W00000X and license number is 5452T, license state is located at Texas. Bandera Eye Goods, Pa physically located at 264 Highway 16 South, Bandera TX, 78003-3897. NPI Number 1033115704 has the healthcare provider type.

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1386712164 NPI number is provided on an as is basis without warranty of any kind. 1386712164 is maintained by the National Plan & Provider Enumeration System. The contents of Bandera Eye Goods, Pa are for informational purposes only.