Provider Demographics
NPI:1215261144
Name:ALVAREZ, PEDRO ENRIQUE (MD)
Entity type:Individual
Prefix:MR
First Name:PEDRO
Middle Name:ENRIQUE
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:PEDRO
Other - Middle Name:ENRIQUE
Other - Last Name:ALVAREZ FERNANDEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:211 E 7TH ST STE 700
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-3218
Mailing Address - Country:US
Mailing Address - Phone:884-788-4328
Mailing Address - Fax:
Practice Address - Street 1:323 S MASON RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1746
Practice Address - Country:US
Practice Address - Phone:884-788-4328
Practice Address - Fax:346-800-7094
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR1491207Q00000X
PR19365207Q00000X
PR13680-I207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine