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Organization
STONE OAK OPTICAL INC
Active
Organization
STONE OAK OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN EDWARD HOLT M.D. (M.D. VICE PRESIDENT)
(210) 490-6759
Entity
Organization
Contact information
Practice address
325 E SONTERRA BLVD, SUITE # 100, SAN ANTONIO, TX 78258-4054
(210) 490-6759
(210) 490-6507
Mailing address
325 EAST SONTERRA BLVD, SUITE # 100, SAN ANTONIO, TX 78258-4054
(210) 490-6759
(210) 490-6507
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
179450001
TX
Other
Enumeration date
02/11/2008
Last updated
01/07/2009
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