Provider Demographics
NPI:1891785630
Name:AUBRY, ALVIN JOSEPH JR (MD)
Entity Type:Individual
Prefix:
First Name:ALVIN
Middle Name:JOSEPH
Last Name:AUBRY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4301 N MACARTHUR BLVD
Mailing Address - Street 2:STE 203
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038
Mailing Address - Country:US
Mailing Address - Phone:972-258-6535
Mailing Address - Fax:972-258-0467
Practice Address - Street 1:4301 N MACARTHUR BLVD
Practice Address - Street 2:STE 203
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038
Practice Address - Country:US
Practice Address - Phone:972-258-6535
Practice Address - Fax:972-258-0467
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG1849207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4019251OtherAETNA
TX4019251OtherAETNA
TX00SC69Medicare ID - Type Unspecified