Provider Demographics
NPI:1699711499
Name:CARVALHO, ALEXANDRE (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDRE
Middle Name:
Last Name:CARVALHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 852460
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75185-2460
Mailing Address - Country:US
Mailing Address - Phone:972-285-5675
Mailing Address - Fax:972-698-8843
Practice Address - Street 1:270 S COLLINS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4625
Practice Address - Country:US
Practice Address - Phone:972-285-5675
Practice Address - Fax:972-698-8843
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7129207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB111332Medicare PIN
C67840Medicare UPIN
TXTXB107456Medicare PIN
TXTXB111332Medicare PIN
TXTXB107456Medicare PIN