Individual
BRANDON SHAUN ALLPORT ALTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2901 MONTOPOLIS DR, AUSTIN, TX 78741-6411
(512) 978-9901
(512) 901-9765
Mailing address
2901 MONTOPOLIS DR, AUSTIN, TX 78741-6411
(512) 978-9901
(512) 901-9765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7644
TX
208000000X
Pediatrics Physician
R7644
TX
208M00000X
Hospitalist Physician
D81065
MD
Other
Enumeration date
03/19/2012
Last updated
05/17/2024
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