Dr. Delesie Petric Johnson
Optometrist
9307 Foxgrove Way
San Antonio
, Texas 78251-4107
Dr. Delesie Petric Johnson
Optometrist
9307 Foxgrove Way
San Antonio
, Texas 78251-4107
(210) 523-5276
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Delesie Petric Johnson
- 9307 Foxgrove Way
- San Antonio, TX
- Zip : 78251-4107
- Fax : (210) 523-5276
- Phone : (210) 523-5276
Second Address
- Dr. Delesie Petric Johnson
- 9307 Foxgrove Way
- San Antonio, TX
- Zip : 78251-4107
- Fax : (210) 523-5276
- Phone : (210) 523-5276
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4493T | TX |
National Provider Identifier
| NPI | 1003032970 |
|---|---|
| Provider Name | Dr. Delesie Petric Johnson |
| First Address | San Antonio, TX 78251-4107 |
| Second Address | San Antonio, TX 78251-4107 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.