Provider Demographics
NPI:1457331456
Name:ALBARRACIN, CESAR (MD)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:
Last Name:ALBARRACIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 N BISHOP AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4203
Mailing Address - Country:US
Mailing Address - Phone:214-941-0801
Mailing Address - Fax:214-941-2161
Practice Address - Street 1:800 N BISHOP AVE STE 2
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4203
Practice Address - Country:US
Practice Address - Phone:214-941-0801
Practice Address - Fax:214-941-2161
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3967207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113604604Medicaid
TXTXB126383OtherWELLMED PTAN
G56570Medicare UPIN