Individual
DR. MARK GERARD CAROLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5430 FREDERICKSBURG RD STE 100, SAN ANTONIO, TX 78229-3539
(210) 340-1212
(210) 525-9617
Mailing address
5430 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3539
(210) 340-1212
(210) 340-1505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03767TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133537404
—
TX
Enumeration date
05/23/2005
Last updated
04/21/2025
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