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Organization
SOUTH TEXAS VISION ASSOCIATES, P.A.
Active
Organization
SOUTH TEXAS VISION ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO GUTIERREZ O.D. (PRESIDENT)
(210) 829-8083
Entity
Organization
Contact information
Practice address
5212 BROADWAY ST, SAN ANTONIO, TX 78209-5712
(210) 829-8083
Mailing address
5212 BROADWAY ST, SAN ANTONIO, TX 78209-5712
(210) 829-8083
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194200101
—
TX
Enumeration date
04/09/2007
Last updated
08/29/2007
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