Individual provider · NPI-1

John Jesse Barajas I, ABO-NCLE Optician

Technician/Technologist, Optician · San Antonio, TX

NPI number1992112502
StatusActive
Last updated in NPPESJul 15, 2014

Details

NPI
1992112502
Entity type
Individual (NPI-1)
Name
John Jesse Barajas I
Credential
ABO-NCLE Optician
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 15, 2014
Last updated
Jul 15, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician171872VAYes

Practice location

6915 S Zarzamora St
San Antonio, TX 78224-1100

Phone 210-928-2020

Mailing address

6915 S Zarzamora St
San Antonio, TX 78224-1100

Phone 210-928-2020

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