Organization
THE LASER EYE CENTER OF SAN ANTONIO P.L.L.C.
Active
Other names
TLC San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR DANIEL REYNA (ADMINISTRATOR)
(210) 712-2340
Entity
Organization
Contact information
Practice address
434 N LOOP 1604 W STE 3201, SAN ANTONIO, TX 78232-1376
(210) 348-0265
Mailing address
1100 N MAIN AVE, SAN ANTONIO, TX 78212-4712
(210) 222-2154
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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