Individual
DR. MARY ALSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6101 SARATOGA BLVD, CORPUS CHRISTI, TX 78414-2470
(361) 929-5319
(844) 272-9788
Mailing address
PO BOX 6362, CORPUS CHRISTI, TX 78466-6362
(361) 929-5319
(844) 272-9788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8201-T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4259723
—
TX
Enumeration date
06/17/2013
Last updated
11/03/2022
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