MEDICARE: BRENDA O. ALVARADO OD & ASSOCIATES PLLC

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
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1518440676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRENDA O. ALVARADO OD & ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	2310 SW MILITARY DR STE 501
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78224-1455
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 SW MILITARY DR STE 501
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78224-1455
Country	:	US
Telephone Number	:	210-922-1163
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRENDA O. ALVARADO
Credential	:	OD
Telephone Number	:	210-922-1163

Provider Enumeration Date	:	09/13/2018
Last Update Date	:	06/25/2024

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