Organization
OPTIC RA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISABEL DE LA TORRE M.D. (OWNER)
(956) 724-5656
Entity
Organization
Contact information
Practice address
220 W HILLSIDE RD, #9, LAREDO, TX 78041-6903
(956) 724-5656
(956) 726-3093
Mailing address
220 W. HILLSIDE RD. #9, LAREDO, TX 78041
(956) 724-5656
(956) 726-3093
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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