Individual
DR. FIONA YUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-DZO, 3551 ROGER BROOKE DRIVE, JBSA-FORT SAM HOUSTON, TX 78234-4504
(210) 295-4335
Mailing address
SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-DZO, 3551 ROGER BROOKE DRIVE, JBSA-FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100479
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ODP-100479
STATE LICENSURE
ID
Enumeration date
07/12/2019
Last updated
10/31/2023
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