Provider Demographics
NPI:1669907366
Name:ZULFER, ALYSON MCCONAL (DO)
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:MCCONAL
Last Name:ZULFER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 EUREKA ST STE D
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-6521
Mailing Address - Country:US
Mailing Address - Phone:817-550-6230
Mailing Address - Fax:833-973-3510
Practice Address - Street 1:750 EUREKA ST STE D
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-6521
Practice Address - Country:US
Practice Address - Phone:817-550-6230
Practice Address - Fax:833-973-3510
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-01
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS5530208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics