Organization
SHAENFIELD VISION SOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANH TRAN OD (OWNER)
(832) 331-9831
Entity
Organization
Contact information
Practice address
7915 W 1604 N, STE 118, SAN ANTONIO, TX 78254-9997
(832) 331-9831
Mailing address
9218 POTRANCO RD, STE 105, SAN ANTONIO, TX 78251-2274
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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