Provider Information for 1295075356
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Dr. JOSE GERARDO ALVARADO LPC
Sex: Male
NPI: 1295075356
Last Updated: 2015-02-26
Certification Date:
Certification Date:
Details
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NPI | 1295075356 | ||||||||||||||||
Enumeration Date | 2013-02-26 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | PO BOX 1607 SAN ANTONIO, TX 78296-1607 United States Phone: 210-558-6288 | Fax:210-558-6289 | ||||||||||||||||
Primary Practice Address | 10839 QUARRY PARK SAN ANTONIO, TX 78233-4681 United States Phone: 210-257-6260 | Fax: | ||||||||||||||||
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