Individual
DR. MELANIE P GONZALEZ-OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5430 FREDERICKSBURG RD STE 100, SAN ANTONIO, TX 78229
(210) 340-1212
(210) 525-9617
Mailing address
5430 FREDERICKSBURG RD STE 100, SAN ANTONIO, TX 78229-3539
(210) 340-1212
(210) 525-9617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
07489TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208363602
—
TX
01
—
208363603
CSHCN
TX
Enumeration date
08/20/2009
Last updated
04/12/2019
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