Individual
DR. JASON R DAUGHTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
315 N SAN SABA, SUITE 100, SAN ANTONIO, TX 78207-3154
(210) 271-7575
(210) 225-8619
Mailing address
315 N SAN SABA, SUITE 100, SAN ANTONIO, TX 78207-3154
(210) 271-7575
(210) 225-8619
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6281TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183257802
—
TX
Enumeration date
07/28/2006
Last updated
09/26/2011
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