Provider Demographics
NPI:1326063231
Name:URTEAGA, ALEX J (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:J
Last Name:URTEAGA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:614C S BUSINESS IH 35 STE BOX 82
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4795
Mailing Address - Country:US
Mailing Address - Phone:830-625-8200
Mailing Address - Fax:830-620-6888
Practice Address - Street 1:800 W SAN ANTONIO ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130
Practice Address - Country:US
Practice Address - Phone:830-625-1473
Practice Address - Fax:830-620-6888
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1275TX213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0073HVOtherBCBS
TX0073HVOtherBCBS
TXU65506Medicare UPIN