Provider Demographics
NPI:1871940650
Name:SIRAKOS, ALLISON HARRINGTON (MD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:HARRINGTON
Last Name:SIRAKOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 ARIZONA ASH ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-3408
Mailing Address - Country:US
Mailing Address - Phone:405-203-4440
Mailing Address - Fax:
Practice Address - Street 1:8550 DATAPOINT DR STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3440
Practice Address - Country:US
Practice Address - Phone:210-615-8308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-20
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT5579207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology