=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801786645
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DR. KAREN ALONDRA SANDOVAL
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/03/2025
-----------------------------------------------------
Last Update Date | 07/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14244 POTRANCO RD STE 450
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78253-2145
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-701-8303
-----------------------------------------------------
Fax | 210-899-1199
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14244 POTRANCO RD STE 450
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78253-2145
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-701-8303
-----------------------------------------------------
Fax | 210-899-1199
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 11416
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------