Individual
ELIAZAR G ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3920 W WHEATLAND RD STE 152, DALLAS, TX 75237-3404
(214) 467-0432
(214) 467-0635
Mailing address
4400 OAK PARK LN, FORT WORTH, TX 76109-9534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G67483
CA
207Q00000X
Family Medicine Physician
Primary
K9983
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A674830
—
CA
05
—
168068805
—
TX
05
—
186417501
—
TX
05
—
186417502
—
TX
Enumeration date
03/24/2006
Last updated
07/30/2024
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