Individual
GILBERT ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075DJ
BLUE CROSS/BLUE SHIELD
TX
01
—
0082EV
BLUE CROSS/BLUE SHIELD
TX
05
—
063623501
—
TX
05
—
137227810
—
TX
Enumeration date
01/11/2008
Last updated
06/30/2008
Update your record
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