Healthcare Provider Details

I. General information

NPI: 1790202513
Provider Name (Legal Business Name): HECTOR ALVAREZ D.D.S.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2017
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 E GARRISON ST
EAGLE PASS TX
78852-4932
US

IV. Provider business mailing address

1606 E GARRISON ST
EAGLE PASS TX
78852-4932
US

V. Phone/Fax

Practice location:
  • Phone: 830-757-1500
  • Fax:
Mailing address:
  • Phone: 830-757-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: HECTOR ALVAREZ
Title or Position: DENTIST
Credential: DDS,PA
Phone: 830-757-1500