Individual
DR. IMAD ALWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 N BEDELL AVE, DEL RIO, TX 78840-4112
(830) 290-6028
Mailing address
801 N BEDELL AVE, DEL RIO, TX 78840-4112
(830) 290-6028
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101259539
VA
207RC0000X
Cardiovascular Disease Physician
Primary
L9068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168137102
—
TX
01
—
752616977029
TRICARE
TX
01
—
752616977073
TRICARE
TX
01
—
8V5490
BCBS
TX
Enumeration date
06/15/2006
Last updated
07/26/2024
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