Individual
DR. CARLOS EDUARDO PESSOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
800 MCCULLOUGH AVE, SAN ANTONIO, TX 78215-1625
(210) 226-6169
Mailing address
800 MCCULLOUGH AVE, SAN ANTONIO, TX 78215-1625
(210) 226-6169
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10203TG
TX
152WC0802X
Corneal and Contact Management Optometrist
10203TG
TX
152WV0400X
Vision Therapy Optometrist
10203TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10203TG
TEXAS BOARD OF OPTOMETRY
TX
Enumeration date
06/20/2016
Last updated
01/14/2025
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