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Retina Institute Of South Texas
Specialist in Live Oak, Texas
NPI 1629196118

Retina Institute Of South Texas is a Specialist based in San Antonio, TX. Retina Institute Of South Texas practices in Live Oak, TX. The NPI Number for Retina Institute Of South Texas is 1629196118 and holds a License No. J4706 (Texas).

The current practice location address for Retina Institute Of South Texas is 11651 Toepperwein Rd, Live Oak, TX and can be reached out via phone at 210-654-0400 and via fax at 210-654-0460.

Location: 11651 Toepperwein Rd, Live Oak, TX, 78209-3832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629196118
Provider Name
Retina Institute Of South Texas
Credential
Provider Entity Type
Organization
Address
11651 Toepperwein Rd, Live Oak, TX, 78209-3832
Phone Number
210-654-0400
Fax Number
210-654-0460
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175842701 05 TX
034567003 05 TX
institution
Provider Business Practice Location Address Details
Address
11651 Toepperwein Rd
City
Live Oak
State
Texas
Zip
78233-3147
Phone Number
210-654-0400
Fax Number
210-654-0460
person
Provider Business Mailing Address Details
Address
11651 Toepperwein Rd
City
Live Oak
State
Texas
Zip
78233-3147
Phone Number
210-654-0400
Fax Number
210-654-0460
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
J4706 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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