Organization · Type 2 NPI
Retina Institute of South Texas
Specialist · Live Oak, TX
NPI number
1629196118
Active
Practice location
11651 Toepperwein Rd, Ste 201
Live Oak, TX 78233-3147
Fax (210) 654-0460
Mailing address
137 Primrose Pl
San Antonio, TX 78209-3832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | J4706 (TX) |
Specialist: 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.
Another provider at this address
Other specialist providers in Live Oak
About NPI 1629196118
Retina Institute of South Texas's National Provider Identifier is 1629196118, issued on Mar 26, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Live Oak, TX. The record was last updated on Dec 8, 2014.