Provider Demographics
NPI:1528746286
Name:DENIS & SLZ LLC
Entity type:Organization
Organization Name:DENIS & SLZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP/MEDICAL PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:AURORA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:MUSTAFA ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:786-716-2411
Mailing Address - Street 1:1101 SPENCER HWY STE H
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77587-1007
Mailing Address - Country:US
Mailing Address - Phone:281-747-8817
Mailing Address - Fax:
Practice Address - Street 1:1101 SPENCER HWY STE H
Practice Address - Street 2:
Practice Address - City:SOUTH HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77587-1007
Practice Address - Country:US
Practice Address - Phone:281-747-8817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care