Denise Tran, OD | |
15900 La Cantera Pkwy, 6697, San Antonio, TX 78256-2422 | |
(210) 694-4110 | |
(210) 694-4925 |
Full Name | Denise Tran |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 15900 La Cantera Pkwy, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962816769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 8400TG (Texas) | Primary |
Provider Name | Fadel Eye Pro, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174806640 PECOS PAC ID: 6406149962 Enrollment ID: O20160721002021 |
Mailing Address | Practice Location Address |
---|---|
Denise Tran, OD 15900 La Cantera Pkwy, 6697, San Antonio, TX 78256-2422 Ph: (210) 694-4110 | Denise Tran, OD 15900 La Cantera Pkwy, 6697, San Antonio, TX 78256-2422 Ph: (210) 694-4110 |
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