Provider Demographics
NPI:1659332641
Name:DARROW, PAUL A (OD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:A
Last Name:DARROW
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 DANBURY ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6038
Mailing Address - Country:US
Mailing Address - Phone:210-828-1321
Mailing Address - Fax:210-828-9932
Practice Address - Street 1:2710 DANBURY ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6038
Practice Address - Country:US
Practice Address - Phone:210-828-1321
Practice Address - Fax:210-828-9932
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3259TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT12907Medicare UPIN
TX8F1429Medicare PIN