Provider Demographics
NPI:1790764058
Name:ALWARD, IAN S (MD)
Entity Type:Individual
Prefix:
First Name:IAN
Middle Name:S
Last Name:ALWARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2555 WESTERN TRAILS BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1574
Mailing Address - Country:US
Mailing Address - Phone:888-663-6331
Mailing Address - Fax:415-252-7176
Practice Address - Street 1:2555 WESTERN TRAILS BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1574
Practice Address - Country:US
Practice Address - Phone:888-663-6331
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2023-09-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM3856207Q00000X
CAA84918207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H88701Medicare UPIN
8G9138Medicare PIN