Provider Demographics
NPI:1407242118
Name:ALVAREZ, JULIAN (FNP)
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 MCCULLOUGH AVE STE 441
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-5666
Mailing Address - Country:US
Mailing Address - Phone:210-225-2341
Mailing Address - Fax:210-225-4403
Practice Address - Street 1:1303 MCCULLOUGH AVE STE 441
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5666
Practice Address - Country:US
Practice Address - Phone:210-225-2341
Practice Address - Fax:210-225-4403
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127486363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily