Individual
FAYE NICOLE TUPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1308 N MAIN ST, VICTORIA, TX 77901-5911
(361) 573-2021
(361) 573-4047
Mailing address
1308 N MAIN ST, VICTORIA, TX 77901-5911
(361) 573-2021
(361) 573-4047
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6286TG
TX
Other
Enumeration date
10/30/2007
Last updated
07/22/2022
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