Dr Ira Phillip Diskin, OD | |
255 E Basse Rd Ste 330, San Antonio, TX 78209-8343 | |
(210) 308-8565 | |
(210) 525-8317 |
Full Name | Dr Ira Phillip Diskin |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 255 E Basse Rd Ste 330, 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 |
---|---|---|---|
1154479335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2221T (Texas) | Primary |
Provider Name | Med Southwest Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609348739 PECOS PAC ID: 4082952874 Enrollment ID: O20190221001481 |
Mailing Address | Practice Location Address |
---|---|
Dr Ira Phillip Diskin, OD 255 E Basse Rd Ste 330, San Antonio, TX 78209-8343 Ph: (210) 308-8565 | Dr Ira Phillip Diskin, OD 255 E Basse Rd Ste 330, San Antonio, TX 78209-8343 Ph: (210) 308-8565 |
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