Provider Demographics
NPI:1982176194
Name:LAWRENCE A. ALDER, MD. PLLC
Entity type:Organization
Organization Name:LAWRENCE A. ALDER, MD. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/ADMINIS
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-274-1055
Mailing Address - Street 1:144 FAIRWAY DR STE A
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-6456
Mailing Address - Country:US
Mailing Address - Phone:830-257-5500
Mailing Address - Fax:
Practice Address - Street 1:144 FAIRWAY DR STE A
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-6456
Practice Address - Country:US
Practice Address - Phone:830-257-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-28
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty