Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 9422T | TX |
NPI | 1003301235 |
---|---|
Provider Name | Alexandra Marie Zuercher |
First Address | San Antonio, TX 78245-3178 |
Second Address | San Antonio, TX 78229-2384 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2018 |
Last Update Date | 29/06/2018 |