Provider Demographics
NPI:1750973905
Name:ALFERT, CARL JOSEPH
Entity type:Individual
Prefix:MR
First Name:CARL
Middle Name:JOSEPH
Last Name:ALFERT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6710 APACHE TRL
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-2724
Mailing Address - Country:US
Mailing Address - Phone:940-337-1641
Mailing Address - Fax:
Practice Address - Street 1:6710 APACHE TRL
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-2724
Practice Address - Country:US
Practice Address - Phone:940-337-1641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator