Healthcare Provider Details

I. General information

NPI: 1003655424
Provider Name (Legal Business Name): SARAH DUNN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2024
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9725 DATAPOINT DR
SAN ANTONIO TX
78229-2384
US

IV. Provider business mailing address

10422 HUEBNER RD APT 3002
SAN ANTONIO TX
78240-1394
US

V. Phone/Fax

Practice location:
  • Phone: 210-283-6800
  • Fax:
Mailing address:
  • Phone: 210-846-0766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number11192
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: