Organization
EYELID INSTITUTE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE L. RIVERA M.D. (PRESIDENT)
(210) 828-8892
Entity
Organization
Contact information
Practice address
307 COLLEGE BLVD, SAN ANTONIO, TX 78209-4518
(210) 828-8892
Mailing address
PO BOX 6312, SAN ANTONIO, TX 78209-0312
(210) 828-8892
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G0814
TX
Other
Enumeration date
10/09/2012
Last updated
10/18/2012
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