Organization
AYNN L UPTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYNN L UPTON (MD)
(361) 993-5882
Entity
Organization
Contact information
Practice address
5700 S STAPLES ST, SUITE C-4, CORPUS CHRISTI, TX 78413-3784
(361) 993-5882
Mailing address
5700 S STAPLES ST, SUITE C-4, CORPUS CHRISTI, TX 78413-3784
(361) 993-5882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3996T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E15Q
BCBS
TX
Enumeration date
01/25/2007
Last updated
11/30/2007
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