Organization
RETINA AND UVEITIS CONSULTANTS OF TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KENNETH SCALES M.D. (OWNER)
(210) 615-6565
Entity
Organization
Contact information
Practice address
9623 HUEBNER RD., SUITE 100, SAN ANTONIO, TX 78240
(210) 615-6565
(210) 615-6568
Mailing address
9623 HUEBNER RD, 100, SAN ANTONIO, TX 78240
(210) 615-6565
(210) 615-6568
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K4232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080819801
—
TX
Enumeration date
01/09/2007
Last updated
07/29/2015
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