Provider Demographics
NPI:1417785817
Name:ALVAREZ, LESLIE MELISSA (APRN-CNP, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:MELISSA
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:APRN-CNP, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4009 SPRINGMEADOWS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-1438
Mailing Address - Country:US
Mailing Address - Phone:832-574-6075
Mailing Address - Fax:
Practice Address - Street 1:6550 FANNIN ST.
Practice Address - Street 2:SMITH TOWER, SUITE 1501
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-441-5141
Practice Address - Fax:713-790-6472
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1169376363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care