Provider Demographics
NPI:1295798304
Name:ALPERN, LOUIS MAX (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:MAX
Last Name:ALPERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4171 N MESA ST
Mailing Address - Street 2:STE D100
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1400
Mailing Address - Country:US
Mailing Address - Phone:915-545-2333
Mailing Address - Fax:915-521-4564
Practice Address - Street 1:4171 N MESA ST
Practice Address - Street 2:BLDG D-100
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1444
Practice Address - Country:US
Practice Address - Phone:915-545-2333
Practice Address - Fax:915-521-4564
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9511174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114544303Medicaid
TXB20870Medicare UPIN
TX114544303Medicaid