Provider Demographics
NPI:1073794673
Name:ALVEAR FAMILY FIRST, P.A.
Entity Type:Organization
Organization Name:ALVEAR FAMILY FIRST, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVEAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-392-2090
Mailing Address - Street 1:1260 PIN OAK RD
Mailing Address - Street 2:SUITE 218
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6850
Mailing Address - Country:US
Mailing Address - Phone:281-392-2090
Mailing Address - Fax:281-392-2099
Practice Address - Street 1:1450 W GRAND PKWY S
Practice Address - Street 2:#G239
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8286
Practice Address - Country:US
Practice Address - Phone:281-392-2090
Practice Address - Fax:281-392-2099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-25
Last Update Date:2007-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1514207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162953701Medicaid
TX00185WMedicare PIN