Provider Demographics
NPI:1003913617
Name:ALVES, TAHIRA PALMER (MD)
Entity Type:Individual
Prefix:
First Name:TAHIRA
Middle Name:PALMER
Last Name:ALVES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TAHIRA
Other - Middle Name:ANYANNA
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7142 SAN PEDRO AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6256
Mailing Address - Country:US
Mailing Address - Phone:210-661-5622
Mailing Address - Fax:210-798-6810
Practice Address - Street 1:10010 ROGERS CROSSING
Practice Address - Street 2:SUITE 210
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-3818
Practice Address - Country:US
Practice Address - Phone:210-549-3524
Practice Address - Fax:210-692-9671
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3439207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX206694605Medicaid
TXP01092754OtherMEDICARE RAILROAD
TX206694605Medicaid