Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 01062143A | IN |
N | 208600000X | Surgeon | 01062143A | IN |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 01062143A | IN |
NPI | 1235197393 |
---|---|
Provider Name | Dr. Alina D. Sholar |
First Address | Austin, TX 78734-1223 |
Second Address | Austin, TX 78757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 09/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01062143A | STATE MEDICAL LICENSE (01) | IN |
253660 | (02) | |
35863 | STATE LICENSE NUMBER (01) | KY |
BS7053591 | DEA (01) | KY |
P9255 | TX LICENSE (01) | TX |