Provider Demographics
NPI:1811964208
Name:ALECOZAY, ABRAHAM ANWAR (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:ANWAR
Last Name:ALECOZAY
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:7430 BARLITE BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1308
Mailing Address - Country:US
Mailing Address - Phone:210-922-2727
Mailing Address - Fax:210-922-9192
Practice Address - Street 1:7430 BARLITE BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1308
Practice Address - Country:US
Practice Address - Phone:210-922-2727
Practice Address - Fax:210-922-9192
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2015-02-05
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Provider Licenses
StateLicense IDTaxonomies
TXJ1834207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1106718-02Medicaid
TXF50965Medicare UPIN
TX1106718-02Medicaid