NPIMap

Organization Active NPI

Alazar Medical Group, PLLC

  • Internal Medicine Physician
  • Cleburne, TX
National Provider Identifier
1932532199
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P 4020 Issued in TX
Legal business name
ALAZAR MEDICAL GROUP, PLLC
Practice address
201 Walls Dr
Suite 505
Cleburne, TX 76033-4007
Phone
(817) 556-9700
Fax
(817) 556-9702
NPI assigned
Aug 12, 2013
Last updated
Oct 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Dr. Maurice Alazar, MDNPI 1215102074
Title
Owner
Phone
(817) 556-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P 4020 TX Primary

Addresses

Primary practice location

201 Walls Dr
Suite 505
Cleburne, TX 76033-4007

Mailing address

201 Walls Dr
Suite 505
Cleburne, TX 76033-4007
Phone (817) 556-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140211000527 TX Part B Supplier - Clinic/Group Practice 3678702867 Receives reassigned benefits from 8 practitioners
Practice locations: Cleburne, TX

National Provider Directory

National Provider Directory

Locations

201 Walls Dr
Ste 505
Cleburne, TX 76033
Phone (817) 556-9700

889 N Nolan Riv Rd
Ste 202
Cleburne, TX 76033
Phone (817) 556-9700

895 N Nolan River Rd
Ste 102
Cleburne, TX 76033
Phone (817) 556-9700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAEJCA

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1932532199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WALLS DR",
            "address_2": "SUITE 505",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334007",
            "telephone_number": "817-556-9700",
            "fax_number": "817-556-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WALLS DR",
            "address_2": "SUITE 505",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334007",
            "telephone_number": "817-556-9700",
            "fax_number": "817-556-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAZAR MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "ALAZAR",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-556-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P 4020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.