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Individual

DR. DEREK MALLORY MEAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1321 N LOOP 1604 E STE 100A, SAN ANTONIO, TX 78232-1438
(210) 545-7067
(210) 545-9629
Mailing address
1321 N LOOP 1604 E STE 100A, SAN ANTONIO, TX 78232-1438
(210) 545-7067
(210) 545-9629

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6450TG
TX

Other

Enumeration date
10/18/2006
Last updated
05/08/2020
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