Healthcare Provider Details

I. General information

NPI: 1962615195
Provider Name (Legal Business Name): NANCY EL-HITAMY AMIR,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 04/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9577 HUEBNER RD BLDG 4
SAN ANTONIO TX
78240-1687
US

IV. Provider business mailing address

9577 HUEBNER RD BLDG 4
SAN ANTONIO TX
78240-1687
US

V. Phone/Fax

Practice location:
  • Phone: 210-228-0030
  • Fax: 210-228-0277
Mailing address:
  • Phone: 210-228-0030
  • Fax: 210-228-0277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number05239TG
License Number StateTX

VIII. Authorized Official

Name: DR. NANCY E AMIR
Title or Position: OWNER
Credential: O.D.
Phone: 210-228-0030