Individual provider · NPI-1

Dr. David Alonso, O.D.

Optometrist · Grand Prairie, TX

NPI number1689013633
StatusActive
Last updated in NPPESJan 26, 2016

Details

NPI
1689013633
Entity type
Individual (NPI-1)
Name
Dr. David Alonso
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 21, 2013
Last updated
Jan 26, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist8217TTXYes

Practice location

3050 W Camp Wisdom Rd
Suite 140
Grand Prairie, TX 75052-4642

Phone 972-532-6999 · Fax 972-532-6713

Mailing address

3050 W Camp Wisdom Rd
Suite 140
Grand Prairie, TX 75052-4642

Phone 972-532-6999 · Fax 972-532-6713

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