Organization
BEXAR EYE PLLC
Active
Other names
Trinidad Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAKE TRINIDAD MD (PHYSICIAN/OWNER)
(210) 774-1109
Entity
Organization
Contact information
Practice address
14603 HUEBNER RD BLDG 12, SAN ANTONIO, TX 78230-5481
(210) 774-1109
Mailing address
14603 HUEBNER RD BLDG 12, SAN ANTONIO, TX 78230-5481
(210) 774-1109
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700528239
—
TX
01
—
1861787418
NPI
TX
Enumeration date
04/13/2022
Last updated
09/23/2022
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