Organization
VICTOR F. ALVARADO
Active
Other names
South Mall Optical
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR F ALVARADO (OWNER)
(210) 922-1163
Entity
Organization
Contact information
Practice address
2310 SW MILITARY DR STE 501, SAN ANTONIO, TX 78224-1407
(210) 922-1163
(210) 922-1776
Mailing address
2310 SW MILITARY DR STE 501, SAN ANTONIO, TX 78224-1407
(210) 922-1163
(210) 922-1776
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019650301
—
TX
Enumeration date
11/29/2007
Last updated
02/26/2025
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