David Brown, ABOC
Technician/Technologist, Optician in San Antonio, TX. Individual provider (NPI-1).
NPI number1942078217
StatusActive
Last updated in NPPESDec 18, 2023
Details
- NPI
- 1942078217
- Entity type
- Individual (NPI-1)
- Name
- David Brown
- Credential
- ABOC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2023
- Certification date
- Dec 16, 2023
- Last updated
- Dec 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
Practice location
2530 Summit Church RdSan Antonio, TX 78259-1608
Phone 210-810-4199
Mailing address
2530 Summit Church RdSan Antonio, TX 78259-1608
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