Individual
AUGUSTIN C PRUNEDA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
700 S ZARZAMORA ST, SUITE201, SAN ANTONIO, TX 78207-5255
(210) 436-8808
(210) 436-9163
Mailing address
700 S ZARZAMORA ST, SUITE201, SAN ANTONIO, TX 78207-5255
(210) 436-8808
(210) 436-9163
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1335366-05
—
TX
Enumeration date
07/18/2006
Last updated
06/12/2012
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