Individual
DR. MARIE ELAINE VLASAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
17503 LA CANTERA PKWY, SUITE 115, SAN ANTONIO, TX 78257-8207
(210) 699-3937
(210) 200-6339
Mailing address
17503 LA CANTERA PKWY, SUITE 115, SAN ANTONIO, TX 78257-8207
(210) 699-3937
(210) 200-6339
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5039TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093342603
—
TX
Enumeration date
11/02/2005
Last updated
07/12/2011
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