| NPI | 1912527151 |
|---|---|
| Doing Business As | TLC SAN ANTONIO |
| Entity Type | Organization |
| Authorized Contact | EDGAR DANIEL REYNA Administrator 210-712-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |