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NPI 1275802175

NPI 1275802175 : MILTON ALVIS, MD, PA : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1275802175
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    Entity Type          |    Organization 
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    Legal Business Name  |    MILTON ALVIS, MD, PA 
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Dates
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    Enumeration Date     |    12/21/2011
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    Last Update Date     |    12/21/2011
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Provider Practice Location Address
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    Address Line         |    2833 BABCOCK RD SUITE 445
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-5390
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    Country              |    US
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    Telephone            |    210-615-1400
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    Fax                  |    210-615-1404
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Provider Business Mailing Address
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    Address Line         |    2833 BABCOCK RD SUITE 445
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-5390
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    Country              |    US
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    Telephone            |    210-615-1400
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    Fax                  |    210-615-1404
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. MILTON E. ALVIS JR.
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    Credential           |    M.D.
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    Telephone            |    210-615-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RI0011X
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    Taxonomy Name        |    Interventional Cardiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2083P0901X
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    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    
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    License Number State |    
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