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Individual

MICHAEL ANDRE HARRELL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 S ZARZAMORA ST, SAN ANTONIO, TX 78207-5209
(210) 358-7600
Mailing address
701 S ZARZAMORA ST, SAN ANTONIO, TX 78207-5209
(210) 358-7600

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101259144
VA
207W00000X
Ophthalmology Physician
260239
MA
207W00000X
Ophthalmology Physician
U4814
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
U4814
TX

Other

Enumeration date
04/07/2014
Last updated
09/18/2023
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