MEDICARE: JAMES EGGERS MD PA

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
1	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0048DE	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1760538854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES EGGERS MD PA

Provider Business Mailing Address
First Line	:	2424 BABCOCK
Second Line	:	STE 101
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-6031
Country	:	US
Telephone Number	:	210-692-1388
Fax Number	:	210-692-1629

Provider Business Practice Location Address
First Line	:	2424 BABCOCK
Second Line	:	STE 101
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-6031
Country	:	US
Telephone Number	:	210-692-1388
Fax Number	:	210-692-1629

Authorized Official
Title or Position	:	OWNER OPHTHALMOLOGIST
Name	:	DR. JAMES EGGERS
Credential	:	MD
Telephone Number	:	210-692-1388

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	02/18/2008

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