Individual
DMITRIY ZIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 W LOOP 1604 N, SUITE 104, SAN ANTONIO, TX 78253-7316
(210) 688-9272
(210) 688-9343
Mailing address
5535 W LOOP 1604 N, SUITE 104, SAN ANTONIO, TX 78253-7316
(210) 688-9272
(210) 688-9343
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9044TG
TX
Other
Enumeration date
07/05/2016
Last updated
01/24/2017
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