Organization
MEDICAL CENTER OPHTHALMOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE T CHRISTIANSON (CHIEF OPERATING OFFICER)
(210) 697-2007
Entity
Organization
Contact information
Practice address
11900 CROWNPOINT DR, SUITE 140, SAN ANTONIO, TX 78233-5314
(210) 697-2020
Mailing address
PO BOX 1358, SAN ANTONIO, TX 78295-1358
(210) 697-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00HV39
MEDICARE GRP B
TX
05
—
083052302
—
TX
Enumeration date
04/06/2012
Last updated
04/06/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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