Weston Louis Dirba
Optometrist in San Antonio, TX. Individual provider (NPI-1).
NPI number1831827005
StatusActive
Last updated in NPPESAug 15, 2022
Details
- NPI
- 1831827005
- Entity type
- Individual (NPI-1)
- Name
- Weston Louis Dirba
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2022
- Certification date
- Aug 15, 2022
- Last updated
- Aug 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 10616 | TX | Yes |
Practice location
11411 Bandera RdSan Antonio, TX 78250-6829
Phone 210-507-9148
Mailing address
12333 Abbey GdnSan Antonio, TX 78249-2791
Phone 979-627-5688
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