Provider Demographics
NPI:1881304251
Name:ALVAREZ, BRANDON (FNP)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 GALE ST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:830-776-5137
Practice Address - Street 1:506 GALE ST
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6003
Practice Address - Country:US
Practice Address - Phone:956-727-8760
Practice Address - Fax:956-727-0504
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1099284363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily