| Brick Eduardo Alva, M.d. , P.a. | |
|
11738 Fm 1960 Rd W Houston TX 77065-3514 | |
| (713) 494-1805 | |
| Not Available |
| Full Name | Brick Eduardo Alva, M.d. , P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 11738 Fm 1960 Rd W, Houston, Texas |
| Authorized Official Name and Position | Brick Eduardo Alva (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 7134941805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brick Eduardo Alva, M.d. , P.a. 11738 Fm 1960 Rd W Houston TX 77065-3514 Ph: (713) 494-1805 | Brick Eduardo Alva, M.d. , P.a. 11738 Fm 1960 Rd W Houston TX 77065-3514 Ph: (713) 494-1805 |
| NPI Number | 1902116890 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 06/28/2011 |
| Medicare PECOS PAC ID | 0749465649 |
|---|---|
| Medicare Enrollment ID | O20110419000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902116890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | M3140 (Texas) | Primary |
| Provider Name | Brick E Alva |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720025380 PECOS PAC ID: 1355444779 Enrollment ID: I20070305000674 |
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