Individual
EDWINA ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2908 DETROIT ST, AMARILLO, TX 79103-4504
(806) 372-9712
Mailing address
2908 DETROIT ST, AMARILLO, TX 79103-4504
(806) 372-9712
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
150621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447373401
BLUECROSS BLUE SHEILD OF TEXAS
TX
01
—
1447373402
BLUECROSS BLUE SHIELD
TX
05
—
162404101
—
TX
Enumeration date
04/06/2007
Last updated
08/23/2008
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