Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 3041 | TX |
NPI | 1134656721 |
---|---|
Provider Name | Dr. George Ferrer Alvarado SR. |
First Address | Cleveland, OH 44195-0001 |
Second Address | El Paso, TX 79912-6119 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2017 |
Last Update Date | 15/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3041 | TX PODIATRY LICENSE # (01) | TX |