Individual
MARVIC MARIA TABORDA ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4018 EL INDIO HWY, EAGLE PASS, TX 78852-6690
(830) 872-3460
(830) 872-3470
Mailing address
PO BOX 1470, EAGLE PASS, TX 78853-1470
(830) 773-8917
(830) 773-1892
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
S9805
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346380870
—
NY
05
—
4302259-01
—
TX
Enumeration date
07/06/2018
Last updated
11/09/2023
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