Individual
MAMTA AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-0407
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-0407
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
48052
TX
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
48052
TX
Other
Enumeration date
09/14/2023
Last updated
11/02/2023
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