Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | BP10075281 | TX |
Y | 111NI0900X | Internist | BP10075281 | TX |
NPI | 1003483256 |
---|---|
Provider Name | Dr. Analicia Alvarado |
First Address | Austin, TX 78701-1918 |
Second Address | Austin, TX 78701-1918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2021 |
Last Update Date | 07/06/2021 |