Mark Gerard Carolan O.D.

NPI 1073516241 - Optometrist - 152W00000X

NPI Details
NPI 1073516241
Gender Male
Enumeration Date 05/23/2005
Last Updated 12/03/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
1099 N WALNUT AVE
SUITE D
NEW BRAUNFELS TX, 78130-5322, US
Phone (830) 620-6151
Fax (830) 620-6151
Business Location
1099 N WALNUT AVE
SUITE D
NEW BRAUNFELS TX, 78130-5322, US
Phone (830) 620-6151
Fax (830) 620-6151
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 03767TG
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According to our database, Dr. Mark Gerard Carolan O.D. NPI is 1073516241, taxonomy code is 152W00000X and license number is 03767TG, license state is located at Texas. Mark Gerard Carolan O.D. physically located at 1099 N Walnut Ave, New Braunfels TX, 78130-5322. NPI Number Mark Gerard Carolan O.D. has the Individual type.

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1073516241 NPI number is provided on an as is basis without warranty of any kind. 1073516241 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Gerard Carolan O.D. are for informational purposes only.