Provider Demographics
NPI:1548351794
Name:ALVEY, TINA MICHELE (DC)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:MICHELE
Last Name:ALVEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 W FRANK
Mailing Address - Street 2:STE B
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904
Mailing Address - Country:US
Mailing Address - Phone:936-637-2300
Mailing Address - Fax:936-637-2322
Practice Address - Street 1:1609 W FRANK
Practice Address - Street 2:STE B
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904
Practice Address - Country:US
Practice Address - Phone:936-637-2300
Practice Address - Fax:936-637-2322
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1548351794OtherBCBS
605540Medicare ID - Type Unspecified
U6347Medicare UPIN