Individual
BEVERLY ANN WIATREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3310 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78223-1922
(210) 534-8863
(210) 534-8551
Mailing address
3310 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78223-1922
(210) 534-8863
(210) 534-8551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2472TG
TX
Other
Enumeration date
04/13/2006
Last updated
12/02/2013
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