Individual
DR. DAVID ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3050 W CAMP WISDOM RD, SUITE 140, GRAND PRAIRIE, TX 75052-4642
(972) 532-6999
(972) 532-6713
Mailing address
3050 W CAMP WISDOM RD, SUITE 140, GRAND PRAIRIE, TX 75052-4642
(972) 532-6999
(972) 532-6713
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8217T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
324349ZSJ4
MEDICARE PTAN
TX
Enumeration date
06/21/2013
Last updated
01/26/2016
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