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Organization

DR. IMTIAZ ALAM MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELIZABETH ASHTON (OFFICE MANAGER)
(512) 719-4370
Entity
Organization

Contact information

Practice address
2200 PARK BEND DR, BLDG 1 STE300, AUSTIN, TX 78758-5368
(512) 719-4370
(512) 719-4371
Mailing address
2200 PARK BEND DR, BLDG 1 STE 300, AUSTIN, TX 78758-5387
(512) 719-4370
(512) 719-4371

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K3057
TX

Other

Enumeration date
06/15/2007
Last updated
08/13/2013
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