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NPI Code Detail

MEDICARE: DR. GRACIELA MARIALUISA SABLE O.D.

MEDICARE:  DR. GRACIELA MARIALUISA SABLE  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT002412GA
2152W00000XOptometrist3359CT
3152W00000XOptometrist07146TTX

General Provider Information

NPI Number : 1053588921
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GRACIELA MARIALUISA SABLE O.D.
Provider Business Mailing Address
First Line : 3903 SE MILITARY DR
Second Line : APT. 10205
City : SAN ANTONIO
State : TX
Zip : 78223-4085
Country : US
Telephone Number : 210-347-0503
Fax Number :
Provider Business Practice Location Address
First Line : 3302 SE MILITARY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78223-3980
Country : US
Telephone Number : 210-858-9249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2008
Last Update Date : 04/15/2025

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Directions to “ DR. GRACIELA MARIALUISA SABLE O.D.” Practice Location

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