Provider Demographics
NPI:1316023104
Name:MARZEC, ANNA (OD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:MARZEC
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 SAN PEDRO AVE
Mailing Address - Street 2:STE 19
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-8326
Mailing Address - Country:US
Mailing Address - Phone:210-349-7814
Mailing Address - Fax:210-349-7421
Practice Address - Street 1:7400 SAN PEDRO AVE
Practice Address - Street 2:STE 19
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-8326
Practice Address - Country:US
Practice Address - Phone:210-349-7814
Practice Address - Fax:210-349-7421
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2019-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7653TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist