Provider Demographics
NPI:1801835434
Name:ADLER, MAX FRANK (MD)
Entity Type:Individual
Prefix:
First Name:MAX
Middle Name:FRANK
Last Name:ADLER
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 1:8226 DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-5927
Mailing Address - Country:US
Mailing Address - Phone:214-692-7447
Mailing Address - Fax:
Practice Address - Street 1:6117 BERKSHIRE LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5502
Practice Address - Country:US
Practice Address - Phone:214-692-7447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6202207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC12620Medicare UPIN
TX8A2528Medicare ID - Type Unspecified