| Bandera Family Eyecare | |
|
11311 Bandera Rd, San Antonio, TX 78250-6812 | |
| (210) 256-2020 | |
| (210) 256-2025 |
| Full Name | Bandera Family Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 11311 Bandera Rd, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851476394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6832TG (Texas) | Primary |
| Provider Name | Tham N Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396772091 PECOS PAC ID: 7719990605 Enrollment ID: I20060718000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Bandera Family Eyecare Po Box 1271, Helotes, TX 78023-1271 Ph: (210) 256-2020 | Bandera Family Eyecare 11311 Bandera Rd, San Antonio, TX 78250-6812 Ph: (210) 256-2020 |
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