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TEXAS ALLIANCE MEDICAL GROUP PA NPI 1861446304


NPI Information

NPI: 1861446304
Provider Name: TEXAS ALLIANCE MEDICAL GROUP, PA

Doing Business As: DOCTORS CLINIC HOUSTON

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D0910231

Address:
14770 MEMORIAL DR.
HOUSTON, TX
ZIP 77079
Phone: (713) 330-1530
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TEXAS ALLIANCE MEDICAL GROUP, PA is a family medicine in Houston, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TEXAS ALLIANCE MEDICAL GROUP, PA NPI is 1861446304. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Doctors Clinic Houston.

The provider's business location address is:

14770 MEMORIAL DR.
HOUSTON, TX
ZIP 77079-252
Phone: (713) 330-1530
Fax: (713) 330-1535

The provider's authorized official is Leslie Allison .
The authorized official title is Medical Director and has the following contact phone number (281) 977-8372.

The CLIA number assigned to this NPI record is 45D0910231 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 1/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100438NOTHERTEXASBLUE CROSS BLUE SHIELD
2080591306MEDICAIDTEXAS
3080591305MEDICAIDTEXAS
4AMERIGROUPOTHERTEXAS10001202
5080591301MEDICAIDTEXAS
6080591307MEDICAIDTEXAS
7TMHP THSTEPSOTHERTEXAS080591302
800438NOTHERTEXASBC/BS
9MEDICARE RAIL ROADOTHERTEXASCG5146

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.