Provider Demographics
NPI:1881258754
Name:RIVER CITY EYE ASSOCIATES PLLC
Entity type:Organization
Organization Name:RIVER CITY EYE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-930-2015
Mailing Address - Street 1:OAKWELL COURT MEDICAL OFFICE BUILDING
Mailing Address - Street 2:3338 OAKWELL COURT, SUITE 212
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-3088
Mailing Address - Country:US
Mailing Address - Phone:210-930-2015
Mailing Address - Fax:210-822-3690
Practice Address - Street 1:OAKWELL COURT MEDICAL OFFICE BUILDING
Practice Address - Street 2:3338 OAKWELL COURT, SUITE 212
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-3088
Practice Address - Country:US
Practice Address - Phone:210-930-2015
Practice Address - Fax:210-822-3690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty