Individual
ALAN WADE MINCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0165
Mailing address
4600 MUELLER BLVD, APT 4062, AUSTIN, TX 78723-3082
(256) 603-9194
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P2734
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303751701
—
TX
05
—
303751702
—
TX
05
—
303751703
—
TX
Enumeration date
06/13/2009
Last updated
11/20/2012
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