Organization
DANIEL POTH, O.D. AND ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLSIE MCDONALD (NETWORK MANAGEMENT MANAGER)
(726) 444-4178
Entity
Organization
Contact information
Practice address
9510 MAIN ST, FAIRFAX, VA 22031-4031
(726) 444-4172
Mailing address
175 E HOUSTON ST, SAN ANTONIO, TX 78205-2299
(726) 444-4172
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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