Individual provider · NPI-1

Adrian Castaneda, aboc

Technician/Technologist, Optician · San Antonio, TX

NPI number1124340740
StatusActive
Last updated in NPPESFeb 23, 2010

Details

NPI
1124340740
Entity type
Individual (NPI-1)
Name
Mr. Adrian Castaneda
Credential
aboc
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 23, 2010
Last updated
Feb 23, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianDR4082TXYes

Practice location

4042 Miho
San Antonio, TX 78223-3822

Phone 210-337-5243

Mailing address

4042 Miho
San Antonio, TX 78223-3822

Phone 210-337-5243

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