Albertson, Gary R
Albertson, Gary R is an sole proprietor health care provider with primary practice located at 4303 Victory Dr , Austin TX 78704-7507. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Albertson, Gary R can be contacted via phone (512) 462-3627.Contact Information
Primary practice address
4303 Victory Dr
Austin TX 78704-7507
Phone: (512) 462-3627
Fax: (512) 462-3431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | D7899 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D7899 | Texas |
Profile Details
| NPI number | 1225063951 |
|---|---|
| LBN Legal business name | Albertson, Gary R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Aug 13th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225063951 | NPPES |
| Texas | MEDICAID | 128530606 |
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