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Organization
SAN ANTONIO EYE CENTER, PA
Active
Organization
SAN ANTONIO EYE CENTER, PA
Active
Other names
San Antonio Eye Surgicenter
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN RENDON (CHIEF FINANCIAL OFFICER)
(210) 226-6169
Entity
Organization
Contact information
Practice address
715 CAMDEN ST, SAN ANTONIO, TX 78215-1619
(210) 226-6169
Mailing address
800 MCCULLOUGH, SAN ANTONIO, TX 78215-1625
(210) 226-6169
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085854001
—
TX
01
—
490000225
RAILROAD MEDICARE
TX
01
—
HH1274
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/23/2006
Last updated
12/07/2021
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