Provider Demographics
NPI:1902239965
Name:TO, NGAN K (OD)
Entity Type:Individual
Prefix:DR
First Name:NGAN
Middle Name:K
Last Name:TO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:7239 SW LOOP 410
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227
Mailing Address - Country:US
Mailing Address - Phone:210-623-1741
Mailing Address - Fax:210-623-1751
Practice Address - Street 1:7239 SW LOOP 410
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227
Practice Address - Country:US
Practice Address - Phone:210-623-1741
Practice Address - Fax:210-623-1751
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8170TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist