Provider Demographics
NPI:1174856025
Name:GABEL - ALVARADO, MELISSA M (FNP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:M
Last Name:GABEL - ALVARADO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:M
Other - Last Name:GABEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7703 FLOYD CURL DR # MC7977
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-450-9850
Mailing Address - Fax:210-450-6095
Practice Address - Street 1:5282 MEDICAL DR STE 614
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-450-9850
Practice Address - Fax:210-450-6095
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP118138363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8310NLOtherBCBS
TX207642406OtherCSHCN
TX207642405Medicaid
TX207642402Medicaid
TX45-2578435OtherTRICARE