Individual provider Active NPI

George Terrazas Alva, FNP

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1639766140
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1023948 Issued in TX
Practice address
5407 Andrews Hwy
Odessa, TX 79762-4248
Phone
(432) 312-2491
Fax
(432) 400-1415
NPI assigned
Dec 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1023948 TX Primary

Addresses

Primary practice location

5407 Andrews Hwy
Odessa, TX 79762-4248

Mailing address

5407 Andrews Hwy
Odessa, TX 79762-4248
Phone (432) 385-4819

Other practice location 1

4519 N Garfield St Ste 1
Midland, TX 79705-3400
Phone (432) 219-9200

Other identifiers 1

IdentifierTypeStateIssuer
66851OtherNMNEW MEXICO ENDORSEMENT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211110001445 TX Practitioner - Nurse Practitioner 6406245661 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1023948TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stonehaven Medical Group, PLLC CurrentSince Aug 6, 2021 Accepting new patients
Stonehaven Medical PLLC CurrentSince Nov 24, 2024 Accepting new patients
Alva Family Practice LLC CurrentSince Jun 4, 2023 Accepting new patients
Cornerstone Family Health & Associates PLLC PastSince Jan 1, 2021 Accepting new patients

Locations

4507 Santa Rosa Dr
Midland, TX 79707
Phone (432) 231-0100

4519 N Garfield St
Ste 1
Midland, TX 79705
Phone (432) 219-9200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDCHCD/Endpoint/DDCHCD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1639766140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 ANDREWS HWY",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624248",
            "telephone_number": "432-385-4819",
            "fax_number": "432-400-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 ANDREWS HWY",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624248",
            "telephone_number": "432-312-2491",
            "fax_number": "432-400-1415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4519 N Garfield St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797053400",
            "country_code": "US",
            "telephone_number": "432-219-9200",
            "fax_number": "432-218-7879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVA",
        "first_name": "GEORGE",
        "middle_name": "TERRAZAS",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1023948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO ENDORSEMENT LICENSE",
            "identifier": "66851",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.