Whalio Doctors

NPI 1801853106

Gonzalo Alvarez del Real, MD

Practitioner Allergy & Immunology Physician Shreveport, LA

Practice location

Address
1455 E Bert Kouns Industrial Loop # 108, Shreveport, LA 71105-5634
Phone
(318) 798-4544
Fax
(318) 798-4557
Mailing address
PO Box 415000 Lbx 410604, Nashville, TN 37241-0604

Registered specialties

Allergy & Immunology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 311897 (LA)

Registry record

NPI
1801853106
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Apr 2006
Record last updated
27 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.