Individual provider · NPI-1

Michael Calderon, ABOC

Technician/Technologist, Optician · San Antonio, TX

NPI number1386336238
StatusActive
Last updated in NPPESMay 22, 2023

Details

NPI
1386336238
Entity type
Individual (NPI-1)
Name
Mr. Michael Calderon
Credential
ABOC
Sex
Male
Sole proprietor
Yes
Enumeration date
May 22, 2023
Certification date
May 20, 2023
Last updated
May 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes

Practice location

8923 W Military Dr
San Antonio, TX 78245-2102

Phone 210-675-6171 · Fax 210-521-9387

Mailing address

8923 W Military Dr
San Antonio, TX 78245-2102

Phone 210-675-6171 · Fax 210-521-9387

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