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Individual

DR. AYNN L UPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

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
05
019231201
TX
01
760332622
TAX ID
TX
Enumeration date
04/27/2006
Last updated
10/10/2011
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