Individual
C JOWAN DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6909 N LOOP 1604 E, SUITE 1170, SAN ANTONIO, TX 78247-5313
(210) 599-7653
(210) 599-7574
Mailing address
6909 N LOOP 1604 E, SUITE 1170, SAN ANTONIO, TX 78247-5313
(210) 599-7653
(210) 599-7574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5529TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5529TG
OPTOMETRY LICENSE NUMBER
TX
Enumeration date
02/28/2007
Last updated
07/09/2007
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