Provider Demographics
NPI:1245934371
Name:ALVAREZ, ZOE (DC)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 MCKINNEY AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-8203
Mailing Address - Country:US
Mailing Address - Phone:305-332-8964
Mailing Address - Fax:
Practice Address - Street 1:1035 N HIGHWAY 77 STE 300
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1397
Practice Address - Country:US
Practice Address - Phone:972-366-4348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15326111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor