Organization
MARK K DAVIS & ASSOCIATES, PA
Active
Other names
ALAMO EYE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KEITH DAVIS OD (PRESIDENT)
(210) 521-2085
Entity
Organization
Contact information
Practice address
6450 NW LOOP 410, SUITE 115, SAN ANTONIO, TX 78238-4209
(210) 521-2085
(210) 509-0962
Mailing address
6450 NW LOOP 410, SUITE 115, SAN ANTONIO, TX 78238-4209
(210) 521-2085
(210) 509-0962
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3460TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000072FC
BCBS
TX
Enumeration date
12/04/2007
Last updated
01/28/2008
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