Provider Demographics
NPI:1003852179
Name:MEISENBACH, ALBERT EDWARD III (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:EDWARD
Last Name:MEISENBACH
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1800 SAN GABRIEL ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1031
Mailing Address - Country:US
Mailing Address - Phone:512-940-1405
Mailing Address - Fax:
Practice Address - Street 1:100 WEST DEAN KEETON
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78712
Practice Address - Country:US
Practice Address - Phone:512-475-8335
Practice Address - Fax:512-471-0898
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE2727207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine