Organization
AEG TEXAS PROFESSIONAL PLLC
Active
Other names
EyeTX- Vineyard
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ALLISON (SR. DIRECTOR MVC)
(314) 741-8183
Entity
Organization
Contact information
Practice address
1205 N LOOP 1604 W STE 117, SAN ANTONIO, TX 78258-4625
(210) 490-9293
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(314) 741-8183
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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