NPI 1043434889

Gentle Molding Vision Center

Organisation Point of Service San Antonio, TX

Practice location

Address: 19272 Stone Oak Pkwy STE 106, San Antonio, TX 78258-3372
Phone: (210) 481-7100
Fax: (210) 481-7101

Authorised official

Name: Gary A. White
Title: Certified Theurapeudic Optometrist
Phone: (210) 481-7100

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 04599TG (TX)

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Registry record

NPI: 1043434889
Entity type: Organization
NPI issued: 12 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.