MEDICARE: DR. GERARDO EMMANUEL ALCAZAR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	204536	CA
2	207R00000X	Internal Medicine Physician	339801	NY
3	207R00000X	Internal Medicine Physician	MD600004839	DC
4	207R00000X	Internal Medicine Physician	T0989	TX

General Provider Information

NPI Number	:	1922444280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERARDO EMMANUEL ALCAZAR M.D.

Provider Business Mailing Address
First Line	:	5209 BURNET RD UNIT 200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-2443
Country	:	US
Telephone Number	:	512-537-4898
Fax Number	:	512-254-6580

Provider Business Practice Location Address
First Line	:	5209 BURNET RD UNIT 200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-2443
Country	:	US
Telephone Number	:	512-537-4898
Fax Number	:	512-254-6580

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2013
Last Update Date	:	12/12/2025

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