Individual
EDWARD CARL ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
15677 SAN PEDRO, B, SAN ANTONIO, TX 78232-3732
(210) 490-9205
(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
3465TG
TX
Other
Enumeration date
06/09/2006
Last updated
06/11/2008
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