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Organization

SAN ANTONIO EYE CENTER, PA

Active
Other names
San Antonio Eye Surgicenter
Organization subpart
No

Provider details

NPI number
Authorized official
MEGHAN RENDON (CHIEF FINANCIAL OFFICER)
(210) 226-6169
Entity
Organization

Contact information

Practice address
715 CAMDEN ST, SAN ANTONIO, TX 78215-1619
(210) 226-6169
Mailing address
800 MCCULLOUGH, SAN ANTONIO, TX 78215-1625
(210) 226-6169

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000118
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
085854001
TX
01
490000225
RAILROAD MEDICARE
TX
01
HH1274
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/23/2006
Last updated
12/07/2021
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