Provider Demographics
NPI:1811687874
Name:ALVAREZ, EDWARD SALAZAER
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:SALAZAER
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 MEADOWVISTA DR # 4224
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2621
Mailing Address - Country:US
Mailing Address - Phone:361-993-6677
Mailing Address - Fax:
Practice Address - Street 1:6200 SARATOGA BLVD UNIT 2
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-3478
Practice Address - Country:US
Practice Address - Phone:361-384-5536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician