Provider Demographics
NPI:1619991296
Name:ALAVI, AMIR (DO)
Entity Type:Individual
Prefix:
First Name:AMIR
Middle Name:
Last Name:ALAVI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6606 LBJ FWY STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6524
Mailing Address - Country:US
Mailing Address - Phone:972-715-5000
Mailing Address - Fax:972-715-9976
Practice Address - Street 1:4323 N JOSEY LN STE 107
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4619
Practice Address - Country:US
Practice Address - Phone:972-386-2020
Practice Address - Fax:972-386-2154
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4894207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX286468802Medicaid
TX286468801Medicaid
TX8D8947OtherBCBS
TXP01002868OtherRAILROAD
TX286468803Medicaid
TXTXB140951Medicare PIN
TX286468803Medicaid
TX8D8947OtherBCBS