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NPI Code Detail

MEDICARE: GILBERT ALVARADO PA-C

MEDICARE: GILBERT ALVARADO PA-C
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
1363AM0700XMedical Physician AssistantPA05491TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10075DJOTHERTXBLUE CROSS/BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
40082EVOTHERTXBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1801072541
Entity Type Code : Individual
Provider Name (Legal Business Name) : GILBERT ALVARADO PA-C
Provider Business Mailing Address
First Line : 415 N AVENUE F
Second Line :
City : DENVER CITY
State : TX
Zip : 79323-2741
Country : US
Telephone Number : 806-592-9501
Fax Number : 806-592-3052
Provider Business Practice Location Address
First Line : 415 N AVENUE F
Second Line :
City : DENVER CITY
State : TX
Zip : 79323-2741
Country : US
Telephone Number : 806-592-9501
Fax Number : 806-592-3052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2008
Last Update Date : 06/30/2008

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Directions to “ GILBERT ALVARADO PA-C” Practice Location

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