Organization
SAN ANTONIO EYE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL HARRIS (EXECUTIVE DIRECTOR)
(210) 242-7575
Entity
Organization
Contact information
Practice address
800 MCCULLOUGH AVE, SAN ANTONIO, TX 78215-1625
(210) 226-6169
(210) 226-8365
Mailing address
800 MCCULLOUGH, SAN ANTONIO, TX 78215-1625
(210) 226-6169
(210) 226-8365
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T848
BLUE CROSS GROUP NUMBER
TX
01
—
CN3522
RAILDROAD MEDICARE GRP #
TX
Enumeration date
05/17/2006
Last updated
01/09/2008
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