Provider Demographics
NPI:1023111044
Name:ALVAREZ, FRANK MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:MICHAEL
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 E TERRACE
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-2184
Mailing Address - Country:US
Mailing Address - Phone:559-685-5610
Mailing Address - Fax:559-685-5617
Practice Address - Street 1:570 E TERRACE
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2184
Practice Address - Country:US
Practice Address - Phone:559-685-5610
Practice Address - Fax:559-685-5617
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA042726208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A427261Medicaid