Doctor Name: | DR. VICTOR RAUL ALVAREZ |
NPI Number: | 1558470302 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D-4010 |
Business Practice Address: | 306 N Loop 288 Suite 183 Denton, TX - 762094887 |
Business Phone Number: | 9403492911 |
Business Fax Number: | 9403492905 |
Mailing Address: | 306 N Loop 288, Suite 183 DENTON |
State: | TX |
Postal Code: | 762094887 |
Phone Number: | 9403492911 |
Fax Number: | 9403492905 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D-4010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |