Healthcare Provider Details

I. General information

NPI: 1982002903
Provider Name (Legal Business Name): ALPAR NEPHROLOGY SERVICES, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2014
Last Update Date: 10/10/2020
Certification Date: 10/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 MOPAC EXPRESSWAY SOUTH BUILDING 1, STE. 300
AUSTIN TX
78746-5883
US

IV. Provider business mailing address

901 MOPAC EXPRESSWAY SOUTH BUILDING 1, STE. 300
AUSTIN TX
78746
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: DR. ANDREW ALPAR
Title or Position: PRESIDENT
Credential: MD
Phone: 512-735-3013