Individual
JACK WAYNE ROUNTREE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5025 NW LOOP 410, SAN ANTONIO, TX 78229-5313
(210) 520-0051
Mailing address
10792 OAKLAND RD, SAN ANTONIO, TX 78240-2025
(210) 520-0051
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7076TG
TX
Other
Enumeration date
09/18/2007
Last updated
04/30/2021
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