Individual
DR. KENNETH D GALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4045 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3636
(210) 333-7777
(210) 504-4377
Mailing address
4045 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3636
(210) 333-7777
(210) 504-4377
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02663T
TX
152WC0802X
Corneal and Contact Management Optometrist
02663T
TX
152WV0400X
Vision Therapy Optometrist
02663T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019183501
—
TX
Enumeration date
09/19/2005
Last updated
11/03/2016
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