Provider Demographics
NPI:1881669711
Name:ZIARI, ALISON D (MD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:D
Last Name:ZIARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4515 SETON CENTER PKWY
Mailing Address - Street 2:SUITE 215
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5290
Mailing Address - Country:US
Mailing Address - Phone:512-231-5506
Mailing Address - Fax:512-406-6216
Practice Address - Street 1:11714 WILSON PARKE AVE
Practice Address - Street 2:#150
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78726-4060
Practice Address - Country:US
Practice Address - Phone:737-247-7200
Practice Address - Fax:512-406-7368
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK4839208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX118608206Medicaid
TX118608208Medicaid
TX118608205Medicaid
TX118608207Medicaid
TXTXB120027Medicare PIN
TX118608207Medicaid
TX118608208Medicaid
TX118608205Medicaid