Individual
MR. EDDY SIDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7400 SAN PEDRO AVENUE, SUITE 486, SAN ANTONIO, TX 78216
(210) 541-0008
Mailing address
1115 GREEN OAKS RD, FORT WORTH, TX 76116-1501
(817) 835-7551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9862
TX
Other
Enumeration date
10/17/2019
Last updated
02/20/2025
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