Provider First Line Business Practice Location Address:
8410 DATAPOINT; EYE CLINIC
Provider Second Line Business Practice Location Address:
SOUTH TEXAS VETERANS HEALTH CARE SYSTEM
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-949-8932
Provider Business Practice Location Address Fax Number:
210-949-8925
Provider Enumeration Date:
03/14/2007