Individual
DR. CHARLES L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5235 B WALZEM, SAN ANTONIO, TX 78218-2122
(210) 657-2020
(210) 657-2028
Mailing address
5235 B WALZEM, SAN ANTONIO, TX 78218-2122
(210) 657-2020
(210) 657-2028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TX2272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17473
SPECTERA
—
01
—
27975
AVESIS
—
Enumeration date
12/05/2006
Last updated
07/08/2007
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