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Individual

MRS. BARBARA DIANNE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
800 MCCULLOUGH AVE, SAN ANTONIO, TX 78215-1625
(210) 226-6169
Mailing address
15623 DOVE MDW, SAN ANTONIO, TX 78248-1716
(210) 492-1879

Taxonomy

Speciality
Code
Description
License number
State
163WX1100X
Ophthalmic Registered Nurse
Primary
222794
TX

Other

Enumeration date
08/11/2006
Last updated
07/08/2007
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