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NPI Code Detail

MEDICARE: JAYCEE ALVAREZ PA-C, ATC, LAT

MEDICARE:   JAYCEE  ALVAREZ  PA-C, ATC, LAT
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
12255A2300XAthletic TrainerAT6865TX
2363A00000XPhysician AssistantPA15146TX

General Provider Information

NPI Number : 1447771449
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYCEE ALVAREZ PA-C, ATC, LAT
Provider Business Mailing Address
First Line : 18200 KATY FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77094-1285
Country : US
Telephone Number : 832-227-3225
Fax Number :
Provider Business Practice Location Address
First Line : 3600 N GARFIELD ST
Second Line :
City : MIDLAND
State : TX
Zip : 79705-6329
Country : US
Telephone Number : 281-736-8208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2017
Last Update Date : 12/06/2022

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Directions to “ JAYCEE ALVAREZ PA-C, ATC, LAT” Practice Location

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