Eycare Of Texas Pc | |
5025 Nw Loop 410, San Antonio, TX 78229-5313 | |
(210) 520-0051 | |
(210) 520-0347 |
Full Name | Eycare Of Texas Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 5025 Nw Loop 410, 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 |
---|---|---|---|
1033367891 | NPI | - | NPPES |
216421202 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 7076TG (Texas) | Primary |
Provider Name | Jack W Rountree |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154517761 PECOS PAC ID: 6305919614 Enrollment ID: I20080721000130 |
Mailing Address | Practice Location Address |
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Eycare Of Texas Pc 5025 Nw Loop 410, San Antonio, TX 78229-5313 Ph: (210) 520-0051 | Eycare Of Texas Pc 5025 Nw Loop 410, San Antonio, TX 78229-5313 Ph: (210) 520-0051 |
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