Provider Demographics
NPI:1679545586
Name:ALBRACHT, DOUGLAS A (DO)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:A
Last Name:ALBRACHT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-4168
Mailing Address - Country:US
Mailing Address - Phone:806-242-6637
Mailing Address - Fax:806-242-6007
Practice Address - Street 1:8 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4168
Practice Address - Country:US
Practice Address - Phone:806-242-6637
Practice Address - Fax:806-242-6007
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXKJ3956207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL208260061Medicare PIN