Provider Demographics
NPI:1659343358
Name:ZWEIBACH, ALEXANDER S (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:S
Last Name:ZWEIBACH
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:1448 E COMMON ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3162
Practice Address - Country:US
Practice Address - Phone:830-643-1762
Practice Address - Fax:830-609-7702
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7128207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX042236203Medicaid
TX83795JOtherBCBS
TX042236201Medicaid
TXP01547649OtherRAILROAD MEDICARE
TX042236202Medicaid
TX042236201Medicaid
TX438392YKYCMedicare PIN
TX83795JMedicare PIN
TXP01547649OtherRAILROAD MEDICARE
TX042236202Medicaid