Provider Demographics
NPI:1619518891
Name:ERNEST C. ALSOP, MD, PA
Entity Type:Organization
Organization Name:ERNEST C. ALSOP, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:CARSON
Authorized Official - Last Name:ALSOP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-729-1117
Mailing Address - Street 1:400 ENTERPRISE BLVD BLDG D4
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:TX
Mailing Address - Zip Code:78382-4341
Mailing Address - Country:US
Mailing Address - Phone:361-729-2800
Mailing Address - Fax:361-729-2405
Practice Address - Street 1:400 ENTERPRISE BLVD BLDG D4
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-4341
Practice Address - Country:US
Practice Address - Phone:361-729-2800
Practice Address - Fax:361-729-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty