Provider Demographics
NPI:1275592784
Name:ALVAREZ-CHEDZOY, NANCY ELINOR (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ELINOR
Last Name:ALVAREZ-CHEDZOY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 SIDNEY BAKER ST S
Mailing Address - Street 2:STE. 400-112
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028
Mailing Address - Country:US
Mailing Address - Phone:830-792-5059
Mailing Address - Fax:820-792-5062
Practice Address - Street 1:601 CLAY ST
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028
Practice Address - Country:US
Practice Address - Phone:830-792-5059
Practice Address - Fax:830-792-5062
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6258207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8U8440OtherBCBS OF TEXAS
TX8U8440OtherBCBS OF TEXAS
TXH89317Medicare UPIN