Organization
E & S MANAGEMENT LLC
Active
Other names
My EyeLab
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING MANAGER)
(561) 612-4531
Entity
Organization
Contact information
Practice address
950 S GENERAL MCMULLEN DR STE 101, SAN ANTONIO, TX 78237-3135
(561) 275-2020
Mailing address
3008 DAWN DR STE 105, GEORGETOWN, TX 78628-2822
(210) 774-5396
(561) 828-8367
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
02/17/2021
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