Healthcare Provider Details

I. General information

NPI: 1275802175
Provider Name (Legal Business Name): MILTON ALVIS, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2011
Last Update Date: 12/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2833 BABCOCK RD SUITE 445
SAN ANTONIO TX
78229-5390
US

IV. Provider business mailing address

2833 BABCOCK RD SUITE 445
SAN ANTONIO TX
78229-5390
US

V. Phone/Fax

Practice location:
  • Phone: 210-615-1400
  • Fax: 210-615-1404
Mailing address:
  • Phone: 210-615-1400
  • Fax: 210-615-1404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MILTON E. ALVIS JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 210-615-1400