Carolan, Mark Gerard

Carolan, Mark Gerard is an sole proprietor health care provider with primary practice located at 1099 N Walnut Ave Suite D, New Braunfels TX 78130. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carolan, Mark Gerard can be contacted via phone (830) 620-6151.

Contact Information

Primary practice address
1099 N Walnut Ave Suite D New Braunfels TX 78130
Phone: (830) 620-6151
Fax: (830) 620-6151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 03767TG Texas

Profile Details

NPI number 1073516241
LBN Legal business name Carolan, Mark Gerard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Jun 5th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073516241 NPPES
Texas MEDICAID 133537404

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