Provider Demographics
NPI:1518714005
Name:ALVAREZ CHIROPRACTIC GROUP LLC
Entity type:Organization
Organization Name:ALVAREZ CHIROPRACTIC GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:DAVEN
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:325-721-0089
Mailing Address - Street 1:2412 COLLEGE HILLS BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-8425
Mailing Address - Country:US
Mailing Address - Phone:325-949-1518
Mailing Address - Fax:
Practice Address - Street 1:2412 COLLEGE HILLS BLVD STE 206
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-8425
Practice Address - Country:US
Practice Address - Phone:325-949-1518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty