Provider Demographics
NPI:1275590705
Name:LESCZYNSKI, PATRICIA ALVAREZ (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ALVAREZ
Last Name:LESCZYNSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N PEAK ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1346
Mailing Address - Country:US
Mailing Address - Phone:214-827-3282
Mailing Address - Fax:
Practice Address - Street 1:801 N PEAK ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1346
Practice Address - Country:US
Practice Address - Phone:214-827-3282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9317207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI45912Medicare UPIN
TX8G1225Medicare ID - Type Unspecified