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NPI Code Detail

MEDICARE: JENNIFER ELIZABETH ALVAREZ

MEDICARE: JENNIFER ELIZABETH ALVAREZ
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
1225X00000XOccupational Therapist104033TX

General Provider Information

NPI Number : 1457832834
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ELIZABETH ALVAREZ
Provider Business Mailing Address
First Line : 1705 BRILL DR
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-5851
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4300 VISTA RD
Second Line :
City : PASADENA
State : TX
Zip : 77504-2118
Country : US
Telephone Number : 713-946-6787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2018
Last Update Date : 08/23/2018

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Directions to “ JENNIFER ELIZABETH ALVAREZ ” Practice Location

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