Search › Texas › 152W00000X
Beverly Wiatrek, O.D
NPI 1083678353 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3310 E Southcross Blvd
San Antonio, TX 78223 - Phone
- (210) 534-8863
- Fax
- (210) 534-8551
- Organisation at this address
- Beverly Ann Kotara Wiatrek, Od
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas