Fiesta Eye Care Pllc

NPI 1740556802 - Optometrist - 152W00000X

NPI Details
NPI 1740556802
Enumeration Date 03/22/2012
Last Updated 03/22/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LINDA LINDA
Position OPTOMETRIST/OWNER
Phone (210) 828-4066
Fax
Practice Location
2620 HARRY WURZBACH RD
103
SAN ANTONIO TX, 78209-5004, US
Phone (210) 828-4066
Fax
Business Location
2620 HARRY WURZBACH RD
103
SAN ANTONIO TX, 78209-5004, US
Phone (210) 828-4066
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 5931T
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According to our database, Fiesta Eye Care Pllc NPI is 1740556802, taxonomy code is 152W00000X and license number is 5931T, license state is located at Texas. Fiesta Eye Care Pllc physically located at 2620 Harry Wurzbach Rd, San Antonio TX, 78209-5004. NPI Number 1033115704 has the healthcare provider type.

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1740556802 NPI number is provided on an as is basis without warranty of any kind. 1740556802 is maintained by the National Plan & Provider Enumeration System. The contents of Fiesta Eye Care Pllc are for informational purposes only.