Provider Demographics
NPI:1346227121
Name:ROLONG, ALVARO E (MD)
Entity Type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:E
Last Name:ROLONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 5605
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78405-5605
Mailing Address - Country:US
Mailing Address - Phone:361-884-1381
Mailing Address - Fax:361-883-2255
Practice Address - Street 1:1211 E HOUSTON ST STE C
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-5207
Practice Address - Country:US
Practice Address - Phone:361-350-8151
Practice Address - Fax:361-350-8151
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2023-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG6605208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX033378301Medicaid
00FQ51Medicare ID - Type Unspecified