Provider Demographics
NPI:1821066333
Name:ALLWEIN, ALEX TRAVIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:TRAVIS
Last Name:ALLWEIN
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 1:986 LOMA VW
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-6601
Mailing Address - Country:US
Mailing Address - Phone:619-395-7383
Mailing Address - Fax:
Practice Address - Street 1:986 LOMA VW
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-6601
Practice Address - Country:US
Practice Address - Phone:619-395-7383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40296207P00000X
CAC146148207P00000X
TNMD0000040296208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine