Provider Demographics
NPI:1508132325
Name:POOLE, ALAN MATTHEW (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:MATTHEW
Last Name:POOLE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5323 HARRY HINES BLVD UTSW PEDIATRIC CRITICAL CARE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9257
Mailing Address - Country:US
Mailing Address - Phone:214-456-1600
Mailing Address - Fax:
Practice Address - Street 1:5323 HARRY HINES BLVD UTSW PEDIATRIC CRITICAL CARE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390
Practice Address - Country:US
Practice Address - Phone:214-456-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ9481208000000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics