# ALVORD MEDICAL CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740237148
- **Authorized official:** JEFFERSON B ALLING MD (MD/OWNER)
- **Authorized official phone:** (940) 627-7829

## Contact information

- **Practice address:** 115 E BYPASS 287, STE A, ALVORD, TX 76225-7778
- **Practice address phone:** (940) 427-2858
- **Practice address fax:** (940) 427-2857
- **Mailing address:** PO BOX 49, ALVORD, TX 76225-0049
- **Mailing address phone:** (940) 427-2858
- **Mailing address fax:** (940) 427-2857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 12/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 111571903 | — | TX |
| 05 | — | 175292501 | — | TX |
| 01 | — | 453934 | MEDICARE | TX |
| 01 | — | DF4050 | RAILROAD MEDICARE | TX |