DR. Delesie Petric Johnson, O.D.

NPI #1003032970 in San Antonio, Texas

Provider Information

NPI Number
1003032970
Entity Type
Individual
Name
DR. Delesie Petric Johnson, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Apr 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
9307 FOXGROVE WAY
State
Texas
ZIP Code
78251-4107
Phone
(210) 523-5276

Specialties & Taxonomy Codes

Specialty
Optometrist

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