Provider Demographics
NPI:1427380526
Name:CESAR J ALEMAN, MD, PA
Entity Type:Organization
Organization Name:CESAR J ALEMAN, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOULDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-394-9245
Mailing Address - Street 1:1809 GOLDEN TRAIL CT
Mailing Address - Street 2:#120
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4665
Mailing Address - Country:US
Mailing Address - Phone:972-394-9245
Mailing Address - Fax:972-939-1958
Practice Address - Street 1:1809 GOLDEN TRAIL CT
Practice Address - Street 2:#120
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4665
Practice Address - Country:US
Practice Address - Phone:972-394-9245
Practice Address - Fax:972-939-1958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6976207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1355752-05Medicaid
TXTXB103809OtherMEDICARE GROUP PTAN
TXTXB103810OtherMEDICARE INDIVIDUAL PTAN
TXB020846Medicare UPIN