{"npi":"1700290277","type":"NPI-1","status":"active","name":{"display":"Dr. Refugio Alvarez M.D","other":[],"first":"REFUGIO","last":"ALVAREZ","credential":"M.D"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"TX","license":"R4656"}]},"addresses":[{"purpose":"LOCATION","street_1":"608 AVENUE B","city":"BALLINGER","state":"TX","postal_code":"768212406","country_code":"US","phone":"8066813698"},{"purpose":"MAILING","street_1":"PO BOX 617","city":"BALLINGER","state":"TX","postal_code":"768210617","country_code":"US"}],"license":{"state":"TX","number":"R4656"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171018000552","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"TX","pac_id":"3971879016"}]},"enumeration_date":"2014-06-12","last_updated":"2023-07-07","_meta":{"source":"NPPES","snapshot_date":"2023-07-07","doc_url":"https://findmynpi.com/api"}}