Individual
DR. DELESIE PETRIC JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9307 FOXGROVE WAY, SAN ANTONIO, TX 78251-4107
(210) 523-5276
(210) 523-5276
Mailing address
9307 FOXGROVE WAY, SAN ANTONIO, TX 78251-4107
(210) 523-5276
(210) 523-5276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4493T
TX
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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