NPI 1003032970

Delesie Petric Johnson, OD

Practitioner Optometrist San Antonio, TX

Practice location

Address: 9307 Foxgrove Way, San Antonio, TX 78251-4107
Phone: (210) 523-5276
Fax: (210) 523-5276

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4493T (TX)

Other Optometrist providers in Texas →

Registry record

NPI: 1003032970
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2007
Record last updated: 8 Jul 2007

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.