Individual
JANA NICOLE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18586 SIGMA RD, SAN ANTONIO, TX 78258-4274
(210) 490-6759
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
T0035
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP20065399
TX
Other
Enumeration date
06/06/2017
Last updated
10/01/2025
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