Provider Demographics
NPI:1750542551
Name:BARSOUMIAN, ALICE EVELYN (MD)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:EVELYN
Last Name:BARSOUMIAN
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3551 ROGER BROOKE DR
Mailing Address - Street 2:INFECTIOUS DISEASE SERVICE
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-916-5554
Mailing Address - Fax:210-916-5900
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:INFECTIOUS DISEASE SERVICE
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-916-5554
Practice Address - Fax:210-916-5900
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2013-06-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA110347207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease