Alfredo Augusto Cisneros Sr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E4817 Issued in TX

Practice address

1901 S 1St St (Memorial Dr.)
N/a
Temple, TX 76504

Phone

(254) 778-4811

Fax

(254) 743-0514

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1588769871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N ORCHARD DR",
            "address_2": "N/A",
            "city": "ROSEBUD",
            "state": "TX",
            "postal_code": "765700517",
            "telephone_number": "254-583-2511",
            "fax_number": "254-583-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 1ST ST (MEMORIAL DR.)",
            "address_2": "N/A",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76504",
            "telephone_number": "254-778-4811",
            "fax_number": "254-743-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "ALFREDO",
        "middle_name": "AUGUSTO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E4817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MY TX MEDICAL LICENSE",
            "identifier": "E4817",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Annette Cilek
• Sudonna Nash Cilliers, RPH
• Nicholas James Cione, MD
• Cheryl A. Cipriani, M.D.
• Glen R. Cipriani, D.D.S.
• Stephanie Renee Clafferty, LMSW
• Destiny Donay Claiborne
• Alatasi Fransetta Clancy, S.L.P.
• Kelly Clare
• Bradley Clark, DO

• Family Medicine Physician in Temple, TX
• Providers in Temple, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.