Provider Demographics
NPI:1831314384
Name:ALFRED M. MAGILL, M.D.
Entity Type:Organization
Organization Name:ALFRED M. MAGILL, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAGILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-454-0184
Mailing Address - Street 1:711 W 38TH ST STE B5W
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1125
Mailing Address - Country:US
Mailing Address - Phone:512-454-0184
Mailing Address - Fax:512-454-0196
Practice Address - Street 1:711 W 38TH ST STE B5W
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1125
Practice Address - Country:US
Practice Address - Phone:512-454-0184
Practice Address - Fax:512-454-0196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4936207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00NE82OtherBLUE CROSS
TX00NE82OtherBLUE CROSS