Eyes Of Cresta Bella, PLLC
Optometrist in San Antonio, TX. Organization (NPI-2).
NPI number1801435474
StatusActive
Last updated in NPPESSep 3, 2020
Details
- NPI
- 1801435474
- Entity type
- Organization (NPI-2)
- Legal business name
- Eyes Of Cresta Bella, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 31, 2019
- Certification date
- Sep 3, 2020
- Last updated
- Sep 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Eyes Of Cresta Bella (Doing Business As)
Practice location
19739 Ih 10 W Ste 112San Antonio, TX 78257-1816
Phone 210-361-7720 · Fax 210-361-3990
Mailing address
19739 Ih 10 W Ste 112San Antonio, TX 78257-1816
Phone 210-361-7720 · Fax 210-361-3990
Authorized official
Angela Marie Garza Offoegbu
Owner
2103617720
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