Individual
DR. BENJAMIN KIET QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9725 DATAPOINT DR # 69, SAN ANTONIO, TX 78229-2384
(210) 283-6832
Mailing address
9725 DATAPOINT DR, SAN ANTONIO, TX 78229-2384
(210) 883-1190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11023T
TX
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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