Individual
DR. AGNES LORRAINE PALYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4930 EVERS RD, SAN ANTONIO, TX 78228-2118
(210) 431-0366
(210) 431-0379
Mailing address
4930 EVERS RD, SAN ANTONIO, TX 78228-2118
(210) 431-0366
(210) 431-0379
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2863TG
TX
152WC0802X
Corneal and Contact Management Optometrist
2863TG
TX
152WL0500X
Low Vision Rehabilitation Optometrist
2863TG
TX
152WS0006X
Sports Vision Optometrist
2863TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121616003
—
TX
Enumeration date
07/15/2005
Last updated
04/06/2015
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