Dr. Joel Mundackal, OD
Optometrist in San Antonio, TX. Individual provider (NPI-1).
NPI number1104716299
StatusActive
Last updated in NPPESJul 8, 2025
Details
- NPI
- 1104716299
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joel Mundackal
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2025
- Certification date
- Jul 8, 2025
- Last updated
- Jul 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 11505TG | TX | Yes |
Practice location
8410 Datapoint DrSan Antonio, TX 78229-3220
Phone 817-682-7412
Mailing address
4415 Cirrus LnRoanoke, TX 76262-2714
Phone 817-682-7412
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