Provider Demographics
NPI:1861459307
Name:DUSKA, ALOIS (MD)
Entity Type:Individual
Prefix:
First Name:ALOIS
Middle Name:
Last Name:DUSKA
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 1:6508 CANON WREN DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-3800
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1201 W 38TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1006
Practice Address - Country:US
Practice Address - Phone:512-324-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6935207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137045416Medicaid
TX137045407Medicaid
TX137045406Medicaid
TX137045413Medicaid
TX137045415Medicaid
TX137045404Medicaid
TX8K4392Medicare PIN
TX137045407Medicaid
TX87427NMedicare PIN
TX930016868Medicare PIN
TXP00045572Medicare PIN
TX137045406Medicaid
TX137045404Medicaid
TX85K144Medicare PIN
TX8K4509Medicare PIN