Organization
RETINA ASSOCIATES OF SOUTH TEXAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PAUL CLELAND M.D. (PRESIDENT)
(210) 615-7600
Entity
Organization
Contact information
Practice address
9910 HUEBNER RD, SUITE 100, SAN ANTONIO, TX 78240-1336
(210) 615-7600
(210) 615-8505
Mailing address
PO BOX 356, SAN ANTONIO, TX 78292-0356
(210) 615-7600
(210) 615-8505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079907401
—
TX
Enumeration date
08/17/2006
Last updated
07/21/2022
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