Individual
CORINA ALYSSA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2810 N LOOP 1604 W STE 200, SAN ANTONIO, TX 78248-2230
(210) 822-9800
Mailing address
2810 N LOOP 1604 W STE 200, SAN ANTONIO, TX 78248-2230
(210) 822-9800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11209T
TX
152W00000X
Optometrist
Primary
11209TG
TX
Other
Enumeration date
07/02/2024
Last updated
07/29/2026
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