Beverly Ann Kotara Wiatrek, Od | |
3310 E Southcross Blvd, San Antonio, TX 78223-1922 | |
(210) 534-8863 | |
(210) 534-8551 |
Full Name | Beverly Ann Kotara Wiatrek, Od |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 3310 E Southcross Blvd, San Antonio, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528089398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Beverly Ann Kotara Wiatrek, Od 3310 E Southcross Blvd, San Antonio, TX 78223-1922 Ph: (210) 534-8863 | Beverly Ann Kotara Wiatrek, Od 3310 E Southcross Blvd, San Antonio, TX 78223-1922 Ph: (210) 534-8863 |
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