Healthcare Provider Details

I. General information

NPI: 1750368510
Provider Name (Legal Business Name): ANDREW ALPAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 10/10/2020
Certification Date: 10/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 S. MOPAC EXPRESSWAY BLDG. 1, STE. 300
AUSTIN TX
78746-1143
US

IV. Provider business mailing address

901 S. MOPAC EXPRESSWAY BLDG. 1, STE. 300
AUSTIN TX
78746-1143
US

V. Phone/Fax

Practice location:
  • Phone: 512-735-3013
  • Fax: 512-852-3074
Mailing address:
  • Phone: 512-735-3013
  • Fax: 512-852-3074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberJ7409
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: