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NPI Code Detail

MEDICARE: CRISTINA MARIE ALVAREZ

MEDICARE: CRISTINA MARIE ALVAREZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor75566TX

General Provider Information

NPI Number : 1083105720
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTINA MARIE ALVAREZ
Provider Business Mailing Address
First Line : 9003 FEATHER BLF
Second Line :
City : HELOTES
State : TX
Zip : 78023-3642
Country : US
Telephone Number : 956-466-6044
Fax Number :
Provider Business Practice Location Address
First Line : 4500 MERCANTILE PLAZA DR STE 307
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4230
Country : US
Telephone Number : 817-232-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2018
Last Update Date : 05/29/2018

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Directions to “ CRISTINA MARIE ALVAREZ ” Practice Location

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