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NPI Code Detail

MEDICARE: MONA ALVI MD PA

MEDICARE: MONA ALVI MD PA
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1144478389
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONA ALVI MD PA
Provider Business Mailing Address
First Line : 2600 E SOUTHLAKE BLVD
Second Line : SUITE 120-149
City : SOUTHLAKE
State : TX
Zip : 76092-6634
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5560 MESA SPRINGS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76123-2120
Country : US
Telephone Number : 817-292-4600
Fax Number :
Authorized Official
Title or Position : PSYCHIATRIST
Name : DR. MONA ALVI
Credential : MD
Telephone Number : 817-292-4600
Provider Enumeration Date : 08/29/2008
Last Update Date : 02/24/2022

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