Provider Demographics
NPI:1407865579
Name:ALVAREZ, B ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:B
Middle Name:ANTONIO
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6430 HILLCROFT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3191
Mailing Address - Country:US
Mailing Address - Phone:832-709-1515
Mailing Address - Fax:832-260-0115
Practice Address - Street 1:6430 HILLCROFT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3191
Practice Address - Country:US
Practice Address - Phone:832-709-1515
Practice Address - Fax:832-260-0115
Is Sole Proprietor?:No
Enumeration Date:2006-08-06
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD9343207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122984103Medicaid
TX1275712572OtherGROUP NPI
TX00EN75OtherBLUE CROSS BLUE SHIELD
TX110210274Medicare PIN
TXD74257Medicare UPIN
TX00EN75Medicare ID - Type Unspecified