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General NPI Number Information
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NPI Number | 1790537348
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Entity Type | Individual
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Provider Name | MATEO ALVAREZ OD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2024
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 2810 N LOOP 1604 W STE 200
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City | SAN ANTONIO
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State | TX
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Zip | 78248-2230
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Country | US
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Telephone | 210-822-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 266 LANDA ST STE 100
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-8061
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Country | US
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Telephone | 830-625-5716
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11150
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License Number State | TX
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