Provider Demographics
NPI:1366680654
Name:ALVARADO, DIANE JOYCE (RRT, BAAS)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:JOYCE
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:RRT, BAAS
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4907 SPRING AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75210-1360
Mailing Address - Country:US
Mailing Address - Phone:214-915-9916
Mailing Address - Fax:
Practice Address - Street 1:4907 SPRING AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75210-1360
Practice Address - Country:US
Practice Address - Phone:214-915-9916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX506682279P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Diagnostics