Organization
FIESTA EYE CARE PLLC
Active
Other names
Linda Visitsunthorn
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA VISITSUNTHORN O.D. (OPTOMETRIST/OWNER)
(210) 828-4066
Entity
Organization
Contact information
Practice address
2620 HARRY WURZBACH RD, 103, SAN ANTONIO, TX 78209-5004
(210) 828-4066
Mailing address
2620 HARRY WURZBACH RD, 103, SAN ANTONIO, TX 78209-5004
(210) 828-4066
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5931T
TX
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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