=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902825037
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PAUL A. DARROW, O.D., P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/19/2006
-----------------------------------------------------
Last Update Date | 10/20/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2710 DANBURY ST
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78217-6038
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-828-1321
-----------------------------------------------------
Fax | 210-828-9932
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2710 DANBURY ST
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78217-6038
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-828-1321
-----------------------------------------------------
Fax | 210-828-9932
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PAUL A DARROW
-----------------------------------------------------
Credential | O.D.
-----------------------------------------------------
Telephone | 210-828-1321
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 3259TG
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------