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Organization

ALAMO CTY EYE PHYSICIANS

Active
Parent organization
ALAMO CTY EYE PHYSICIANS
Other names
Alamo Physicians Optical
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALAMO CTY EYE PHYSICIANS
Authorized official
DR. JON MARK BERRY M.D. (PRESIDENT)
(210) 946-2020
Entity
Organization

Contact information

Practice address
3327 RESEARCH PLZ, SUITE 306, SAN ANTONIO, TX 78235-5155
(210) 599-8882
(210) 590-3936
Mailing address
11601 TOEPPERWEIN RD, LIVE OAK, TX 78233-3147
(210) 946-2020
(210) 590-3936

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
H9797
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
066273601
TX
Enumeration date
03/01/2013
Last updated
03/01/2013
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