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Individual

LAWRENCE J ALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7200 STATE HIGHWAY 161, SUITE 200, IRVING, TX 75039-4132
(817) 303-4521
(972) 401-4930
Mailing address
7200 STATE HIGHWAY 161, SUITE 200, IRVING, TX 75039-4132
(972) 401-4940
(972) 401-4930

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G6258
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122446103
TX
05
122446104
TX
05
122446105
TX
05
122446106
TX
01
122446107
MEDICAID OTHER
TX
05
122446108
TX
Enumeration date
09/20/2005
Last updated
05/24/2016
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