Provider Demographics
NPI:1710007778
Name:METZINGER, ALLISON MARIE RIVERA (MD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARIE RIVERA
Last Name:METZINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 E SONTERRA BLVD STE 2201
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4287
Mailing Address - Country:US
Mailing Address - Phone:210-496-5792
Mailing Address - Fax:210-496-7601
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:SUITE 860
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024
Practice Address - Country:US
Practice Address - Phone:713-468-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2772207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology