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General NPI Number Information
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NPI Number | 1902116890
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Entity Type | Organization
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Legal Business Name | BRICK EDUARDO ALVA, M.D. , P.A.
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 06/28/2011
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Provider Practice Location Address
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Address Line | 11738 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77065-3514
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Country | US
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Telephone | 713-494-1805
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Fax |
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Provider Business Mailing Address
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Address Line | 11738 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77065-3514
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Country | US
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Telephone | 713-494-1805
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. BRICK EDUARDO ALVA
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Credential | M.D.
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Telephone | 713-494-1805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | M3140
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License Number State | TX
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