Organization
EYEPLASTX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER M DEBACKER MD (OWNER)
(210) 495-2367
Entity
Organization
Contact information
Practice address
1314 E SONTERRA BLVD, SUITE 5104, SAN ANTONIO, TX 78258-4278
(210) 495-2367
(210) 495-0155
Mailing address
1314 E SONTERRA BLVD, SUITE 5104, SAN ANTONIO, TX 78258-4278
(210) 495-2367
(210) 495-0155
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/06/2015
Last updated
12/06/2015
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