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NPI Code Detail

MEDICARE: LUIS CARLOS CALLARD ALVAREZ MD

MEDICARE: LUIS CARLOS CALLARD ALVAREZ MD
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
1390200000XStudent in an Organized Health Care Education/Training Program17567-IPR

General Provider Information

NPI Number : 1427919554
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS CARLOS CALLARD ALVAREZ MD
Provider Business Mailing Address
First Line : 1611 PECAN CROSSING DR
Second Line :
City : RICHMOND
State : TX
Zip : 77406-6683
Country : US
Telephone Number : 832-516-8880
Fax Number : 832-516-8881
Provider Business Practice Location Address
First Line : 308 WILLOW AVE
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-3808
Country : US
Telephone Number : 201-418-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2025
Last Update Date : 04/13/2026

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