Provider Demographics
NPI:1821205170
Name:ESPIRITU, DONALD R (OD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:R
Last Name:ESPIRITU
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:6743 BISCAY BAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249
Mailing Address - Country:US
Mailing Address - Phone:210-688-6147
Mailing Address - Fax:210-688-2579
Practice Address - Street 1:6703 LESLIE RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-9539
Practice Address - Country:US
Practice Address - Phone:210-688-6147
Practice Address - Fax:210-688-2579
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5902TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist