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Individual

MR. GARY CARRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ABOC

Contact information

Practice address
207 PAT BOOKER RD, UNIVERSAL CITY, TX 78148-4427
(210) 658-3820
(210) 658-4841
Mailing address
207 PAT BOOKER RD, UNIVERSAL CITY, TX 78148-4427
(210) 658-3820
(210) 658-4841

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DR3174 DR3175
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110510
EYEMED VISION CARE
TX
01
44349
AVESIS VISION PLAN
TX
01
514575
BCBS OF TEXAS
TX
01
CO47384
SPECTERA VISION
TX
01
FC63634
SAFEGUARD VISION
TX
Enumeration date
01/08/2007
Last updated
03/20/2008
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