Provider Demographics
NPI:1164878666
Name:ALVAREZ, ALAIN (LSA)
Entity Type:Individual
Prefix:MR
First Name:ALAIN
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:LSA
Other - Prefix:
Other - First Name:ALAIN
Other - Middle Name:
Other - Last Name:ALVAREZ MORALES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSA
Mailing Address - Street 1:17702 WIND MIST LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1502
Mailing Address - Country:US
Mailing Address - Phone:832-376-1182
Mailing Address - Fax:832-383-9492
Practice Address - Street 1:17702 WIND MIST LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1502
Practice Address - Country:US
Practice Address - Phone:832-856-3399
Practice Address - Fax:832-383-9492
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00620363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical