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Organization
ALVORD MEDICAL CLINIC, PA
Active
Organization
ALVORD MEDICAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON B ALLING MD (MD/OWNER)
(940) 627-7829
Entity
Organization
Contact information
Practice address
115 E BYPASS 287, STE A, ALVORD, TX 76225-7778
(940) 427-2858
(940) 427-2857
Mailing address
PO BOX 49, ALVORD, TX 76225-0049
(940) 427-2858
(940) 427-2857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111571903
—
TX
05
—
175292501
—
TX
01
—
453934
MEDICARE
TX
01
—
DF4050
RAILROAD MEDICARE
TX
Enumeration date
05/30/2006
Last updated
12/01/2016
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