MEDICARE: MRS. DIANE JOYCE ALVARADO RRT, BAAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2279P1004X	Pulmonary Diagnostics Registered Respiratory Therapist	50668	TX

General Provider Information

NPI Number	:	1366680654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DIANE JOYCE ALVARADO RRT, BAAS

Provider Business Mailing Address
First Line	:	4907 SPRING AVE
Second Line	:	SUITE 207
City	:	DALLAS
State	:	TX
Zip	:	75210-1360
Country	:	US
Telephone Number	:	214-915-9916
Fax Number	:

Provider Business Practice Location Address
First Line	:	4907 SPRING AVE
Second Line	:	SUITE 207
City	:	DALLAS
State	:	TX
Zip	:	75210-1360
Country	:	US
Telephone Number	:	214-915-9916
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2009
Last Update Date	:	02/19/2009

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