Provider Demographics
NPI:1992086524
Name:LAMAR J ALBRITTON MD PA
Entity type:Organization
Organization Name:LAMAR J ALBRITTON MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAMAR
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALBRITTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-614-3275
Mailing Address - Street 1:7922 EWING HALSELL DR
Mailing Address - Street 2:430
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3786
Mailing Address - Country:US
Mailing Address - Phone:210-614-3275
Mailing Address - Fax:210-692-9654
Practice Address - Street 1:7922 EWING HALSELL DR
Practice Address - Street 2:430
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3786
Practice Address - Country:US
Practice Address - Phone:210-614-3275
Practice Address - Fax:210-692-9654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-09
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX287133701Medicaid
TX287133701Medicaid