Individual
KWAME ANTWI-BOASIAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD, PHD
Contact information
Practice address
4701 S PADRE ISLAND DR STE A, CORPUS CHRISTI, TX 78411-4400
(361) 730-2375
Mailing address
5622 LEICESTER, CORPUS CHRISTI, TX 78414-6073
(281) 624-9734
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10380T
TX
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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