Shelly Blaker Od PC

NPI #1528549839 in Hondo, Texas

Provider Information

NPI Number: 1528549839
Entity Type: Organization
Organization Name: Shelly Blaker Od PC
Primary Specialty: Eyewear Supplier
Enumeration Date: Aug 24, 2018
Last Updated: Aug 24, 2018

Practice Location

Address: 1620 AVENUE M
City: Hondo
State: Texas
ZIP Code: 78861-1733
Phone: (830) 741-2634

Authorized Official

Name: AMY WILLIAMS
Title: OFFICE MANAGER
Phone: (830) 997-2504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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