Provider Demographics
NPI:1194010504
Name:ALSOP, ERNEST CARSON (MD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:CARSON
Last Name:ALSOP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:412 FAIRWAY OAKS ST
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:TX
Mailing Address - Zip Code:78382-6959
Mailing Address - Country:US
Mailing Address - Phone:361-790-6880
Mailing Address - Fax:
Practice Address - Street 1:2621 HWY 35 N
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-5708
Practice Address - Country:US
Practice Address - Phone:361-729-3939
Practice Address - Fax:361-729-1782
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6300207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine