Individual
DR. JOHN M. NEVELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
19190 STONE OAK PKWY, SUITE 120, SAN ANTONIO, TX 78258-3237
(210) 349-2437
(210) 494-1633
Mailing address
19190 STONE OAK PKWY, SUITE 120, SAN ANTONIO, TX 78258-3237
(210) 349-2437
(210) 494-1633
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2061TG
TX
152W00000X
Optometrist
MN0265923
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E11H
BLUECROSSBLUESHIELD
TX
01
—
2326241
AETNA
TX
01
—
741764072
PROVIDER NUMBER
TX
Enumeration date
07/01/2005
Last updated
08/08/2011
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