Healthcare Provider Details

I. General information

NPI: 1003913617
Provider Name (Legal Business Name): TAHIRA PALMER ALVES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAHIRA ANYANNA PALMER

II. Dates (important events)

Enumeration Date: 09/19/2006
Last Update Date: 07/07/2021
Certification Date: 07/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10010 ROGERS CROSSING SUITE 210
SAN ANTONIO TX
78251-3818
US

IV. Provider business mailing address

7142 SAN PEDRO AVE SUITE 120
SAN ANTONIO TX
78216-6256
US

V. Phone/Fax

Practice location:
  • Phone: 210-549-3524
  • Fax: 210-692-9671
Mailing address:
  • Phone: 210-661-5622
  • Fax: 210-798-6810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberN3439
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: