person
Fidel Alexander Pantoja, OPTICIAN
Eyewear Supplier in San Antonio, Texas
NPI 1124783881

Fidel Alexander Pantoja is a Eyewear Supplier based in San Antonio, TX. Fidel Alexander Pantoja practices in San Antonio, TX and has the professional credentials of OPTICIAN. The NPI Number for Fidel Alexander Pantoja is 1124783881 and holds a License No. 192472 (Texas).

The current practice location address for Fidel Alexander Pantoja is 1431 W Winnipeg Ave, San Antonio, TX and can be reached out via phone at 210-580-3316.

Location: 1431 W Winnipeg Ave, San Antonio, TX, 78225-2244
person
Provider Profile Details
NPI Number
1124783881
Provider Name
Fidel Alexander Pantoja
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
1431 W Winnipeg Ave, San Antonio, TX, 78225-2244
Phone Number
210-580-3316
Fax Number
Provider Enumeration Date
11/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1431 W Winnipeg Ave
City
State
Zip
78225-2244
Phone Number
210-580-3316
Fax Number
person
Provider Business Mailing Address Details
Address
1431 W Winnipeg Ave
City
State
Zip
78225-2244
Phone Number
210-580-3316
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
192472 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
192472 (Texas)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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