Organization
AGNES L PALYS OD PC
Active
Other names
Vision Source
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGNES LORRAINE PALYS OD (PRESIDENT OWNER)
(210) 431-0366
Entity
Organization
Contact information
Practice address
4930 EVERS RD, SAN ANTONIO, TX 78228
(210) 431-0366
(210) 431-0379
Mailing address
4930 EVERS RD, SAN ANTONIO, TX 78228
(210) 431-0366
(210) 431-0379
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2863TG
TX
152WC0802X
Corneal and Contact Management Optometrist
3863TG
TX
152WL0500X
Low Vision Rehabilitation Optometrist
2863TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019303901
—
TX
Enumeration date
09/22/2006
Last updated
04/06/2015
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