Provider Demographics
NPI:1629280185
Name:AXELRAD, ALLAN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:DAVID
Last Name:AXELRAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4545 BISSONNET ST
Mailing Address - Street 2:SUITE 131
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3121
Mailing Address - Country:US
Mailing Address - Phone:713-523-5999
Mailing Address - Fax:713-942-9626
Practice Address - Street 1:4545 BISSONNET ST
Practice Address - Street 2:SUITE 131
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3121
Practice Address - Country:US
Practice Address - Phone:713-523-5999
Practice Address - Fax:713-942-9626
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXD69332084F0202X, 2084P0800X, 2084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine