Individual
DR. ANTONIO E HACHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7800 N NAVARRO ST, SUITE 223, VICTORIA, TX 77904-2611
(361) 573-2021
Mailing address
7800 N NAVARRO ST, SUITE 223, VICTORIA, TX 77904-2611
(361) 573-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4655TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00242X
—
TX
01
—
00E92U
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/09/2005
Last updated
07/10/2007
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