Provider Demographics
NPI:1184064719
Name:SUTTON, ALLISON BARBARA (MD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:BARBARA
Last Name:SUTTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7979 WURZBACH ROAD, MSC 7876, GROSSMAN BUILDING, 3RD FL
Mailing Address - Street 2:UTHSCSA,DEPARTMENT OF MEDICINE,DIVISION OF DERMATOLOGY
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-450-6355
Mailing Address - Fax:
Practice Address - Street 1:7979 WURZBACH ROAD, MSC 7876, GROSSMAN BUILDING, 3RD FL
Practice Address - Street 2:UTHSCSA,DEPARTMENT OF MEDICINE,DIVISION OF DERMATOLOGY
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-450-6355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-27
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2377207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX323588YK00Medicare PIN