Organization
MARY ALICE A. TANGUAY OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ALICE A TANGUAY O.D. (PRESIDENT)
(972) 492-6588
Entity
Organization
Contact information
Practice address
1850 E ROSEMEADE PKWY, CARROLLTON, TX 75007-2637
(972) 492-6588
(972) 492-5337
Mailing address
PO BOX 116239, CARROLLTON, TX 75011-6239
(972) 492-6588
(972) 492-5337
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2904TG
TX
Other
Enumeration date
12/07/2011
Last updated
02/02/2012
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