Provider Demographics
NPI:1255361507
Name:MIRIAM J. FRIEDMAN, M.D., P.A.
Entity type:Organization
Organization Name:MIRIAM J. FRIEDMAN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-385-4193
Mailing Address - Street 1:PO BOX 782325
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78278-2325
Mailing Address - Country:US
Mailing Address - Phone:210-385-4193
Mailing Address - Fax:210-492-1380
Practice Address - Street 1:300 W BITTERS RD
Practice Address - Street 2:SUITE 130
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-1691
Practice Address - Country:US
Practice Address - Phone:210-385-4193
Practice Address - Fax:210-492-1380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty