Provider Demographics
NPI:1821238726
Name:ALVAREZ, AIXA LYMARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:AIXA
Middle Name:LYMARIE
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5804 BABCOCK RD
Mailing Address - Street 2:166
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2134
Mailing Address - Country:US
Mailing Address - Phone:210-366-9906
Mailing Address - Fax:210-297-0731
Practice Address - Street 1:1310 MCCULLOUGH AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5601
Practice Address - Country:US
Practice Address - Phone:210-785-8282
Practice Address - Fax:210-785-8288
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2019-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN2374208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0064STOtherBCBS OF TX