Organization
ABDEP LP
Active
Other names
Eye Tx Vision Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLAN G ANDERSON OD (PARTNER)
(210) 366-1199
Entity
Organization
Contact information
Practice address
15677B SAN PEDRO AVE, SAN ANTONIO, TX 78232
(210) 366-1199
(210) 349-7111
Mailing address
PO BOX 160308, SAN ANTONIO, TX 78280-2508
(210) 366-1199
(210) 349-7111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
07/24/2006
Last updated
08/29/2011
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