Provider Demographics
NPI:1760643225
Name:ALVARADO, ERIC ADRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ADRIAN
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 W GREEN OAKS BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-2795
Mailing Address - Country:US
Mailing Address - Phone:817-457-3030
Mailing Address - Fax:817-457-3034
Practice Address - Street 1:3901 W GREEN OAKS BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-2795
Practice Address - Country:US
Practice Address - Phone:817-457-3030
Practice Address - Fax:817-457-3034
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10908111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor