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NPI Code Detail

MEDICARE: MONA A ALVI M.D.

MEDICARE: MONA A ALVI M.D.
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
12084P0804XChild & Adolescent Psychiatry PhysicianL9999TX
22084P0800XPsychiatry PhysicianL9999TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881602589
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONA A ALVI M.D.
Provider Business Mailing Address
First Line : 2600 E SOUTHLAKE BLVD
Second Line : 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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 05/14/2022

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