Individual
ALAN ANDREW NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 S HENDERSON ST, FORT WORTH, TX 76104-1016
(817) 529-9949
(817) 529-9943
Mailing address
321 S HENDERSON ST, FORT WORTH, TX 76104-1016
(817) 529-9949
(817) 529-9943
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L2508
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120481101
FIRST CARE STAR MEDICAID
—
01
—
145291402
AMERIGROUP
—
05
—
145291402
—
TX
05
—
152778001
—
TX
05
—
200501680
—
IN
01
—
7021107
AETNA
—
01
—
8G6220
BCBS
TX
01
—
BG6221
BCBS
—
01
—
H43786
COOK CHIPS
—
Enumeration date
03/16/2006
Last updated
12/08/2010
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