Individual
DR. ALFREDO AUGUSTO CISNEROS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 S 1ST ST (MEMORIAL DR.), N/A, TEMPLE, TX 76504
(254) 778-4811
(254) 743-0514
Mailing address
310 N ORCHARD DR, N/A, ROSEBUD, TX 76570-0517
(254) 583-2511
(254) 583-2511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4817
MY TX MEDICAL LICENSE
TX
Enumeration date
09/13/2006
Last updated
09/19/2008
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