Alvin  V  Tenchavez    MD
Contract Details
Med-Assist--Albertville
Facility name
Provider ID
P000007480
NPI
1225023211
Tax ID
631105532
Effective Date
3/28/2001
Last Updated
6/10/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
3442 Highway 431
Albertville, AL 35950
United States
County
Marshall
Phone
2565931234 (Phone)
Billing Details
Address
3442 Highway 431
Albertville, AL 35950
Billing Phone
2565931234
Specialty Type
Internal Medicine
Map
Address