Individual
DR. ERVIN MENDLOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3209 WURZBACH RD, SAN ANTONIO, TX 78238-4002
(210) 520-6548
Mailing address
8111 CEDAR KNOLL DR, SAN ANTONIO, TX 78255-2205
(210) 520-6548
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4128T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136484602
—
TX
01
—
TXB110849
PTAN
TX
Enumeration date
08/13/2006
Last updated
12/04/2010
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