Healthcare Provider Details

I. General information

NPI: 1578258638
Provider Name (Legal Business Name): ALEXANDER F DRTIL MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 04/05/2023
Certification Date: 04/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 GESSNER RD STE 680
HOUSTON TX
77024-2525
US

IV. Provider business mailing address

915 GESSNER RD STE 680
HOUSTON TX
77024-2525
US

V. Phone/Fax

Practice location:
  • Phone: 713-827-8710
  • Fax:
Mailing address:
  • Phone: 713-827-8710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER FRANZ DRTIL
Title or Position: DIRECTOR
Credential: MD
Phone: 713-662-0285