Individual
COURTNEY MAI-NHI TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7915 W LOOP 1604 N STE 118, SAN ANTONIO, TX 78254-4661
(210) 257-0940
Mailing address
5623 HAMILTON WOLFE APT 117, SAN ANTONIO, TX 78240-3992
(281) 854-7386
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11655TG
TX
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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