Provider Demographics
NPI:1922444280
Name:ALCAZAR, GERARDO EMMANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:GERARDO
Middle Name:EMMANUEL
Last Name:ALCAZAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 LAIRD DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-3202
Mailing Address - Country:US
Mailing Address - Phone:512-537-4898
Mailing Address - Fax:512-254-6580
Practice Address - Street 1:6400 LAIRD DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-3202
Practice Address - Country:US
Practice Address - Phone:512-537-4898
Practice Address - Fax:512-254-6580
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT0989207R00000X
NC2016-00322208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine