Mockingbird Optical Shop Llc

NPI 1194728337 - Durable Medical Equipment & Medical Supplies - 332BC3200X

NPI Details
NPI 1194728337
Enumeration Date 05/23/2005
Last Updated 02/27/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JAY C. JAY
Position ADMINISTRATOR
Phone (210) 340-1212
Fax (210) 525-9617
Practice Location
5430 FREDERICKSBURG RD
STE 100
SAN ANTONIO TX, 78229-3539, US
Phone (210) 340-1212
Fax (210) 525-9617
Business Location
5430 FREDERICKSBURG RD
SUITE 100
SAN ANTONIO TX, 78229-3539, US
Phone (210) 340-1212
Fax (210) 525-9617
Toxanomy
Taxonomy Code 332BC3200X
License State Texas
License Number 4487710001
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According to our database, Mockingbird Optical Shop Llc NPI is 1194728337, taxonomy code is 332BC3200X and license number is 4487710001, license state is located at Texas. Mockingbird Optical Shop Llc physically located at 5430 Fredericksburg Rd, San Antonio TX, 78229-3539. NPI Number 1033115704 has the healthcare provider type.

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1194728337 NPI number is provided on an as is basis without warranty of any kind. 1194728337 is maintained by the National Plan & Provider Enumeration System. The contents of Mockingbird Optical Shop Llc are for informational purposes only.