Provider Demographics
NPI:1578324554
Name:ALVAREZ, CYNTHIA ALEJANDRA (MED)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ALEJANDRA
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 S FM 51 STE 400
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3630
Mailing Address - Country:US
Mailing Address - Phone:940-389-9010
Mailing Address - Fax:
Practice Address - Street 1:1650 S FM 51 STE 400
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3630
Practice Address - Country:US
Practice Address - Phone:940-389-9010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82472101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor