Individual
GARY R ALBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4303 VICTORY DR, AUSTIN, TX 78704-7507
(512) 462-3627
(512) 462-3431
Mailing address
4303 VICTORY DR, AUSTIN, TX 78704-7507
(512) 462-3627
(512) 462-3431
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D7899
TX
207Q00000X
Family Medicine Physician
D7899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128530606
—
TX
Enumeration date
07/11/2006
Last updated
08/13/2015
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