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Organization
TEXAS ALLIANCE MEDICAL GROUP, PA
Active
Organization
TEXAS ALLIANCE MEDICAL GROUP, PA
Active
Other names
Doctors Clinic Houston
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE ALLISON M.D. (MEDICAL DIRECTOR)
(281) 977-8372
Entity
Organization
Contact information
Practice address
14770 MEMORIAL DR., HOUSTON, TX 77079-5252
(713) 330-1530
(713) 330-1535
Mailing address
14770 MEMORIAL # 200, HOUSTON, TX 77079-5252
(281) 493-5535
(281) 493-3353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00438N
BLUE CROSS BLUE SHIELD
TX
05
—
080591301
—
TX
05
—
080591305
—
TX
05
—
080591306
—
TX
05
—
080591307
—
TX
01
—
AMERIGROUP
10001202
TX
01
—
MEDICARE RAIL ROAD
CG5146
TX
01
—
TMHP THSTEPS
080591302
TX
Enumeration date
05/20/2006
Last updated
01/18/2021
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