Organization
ALICE OBGYN SPECIALTY CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER C HASETTE IV (OFFICE MANAGER)
(361) 664-6671
Entity
Organization
Contact information
Practice address
2510 E MAIN ST, SUITE 106, ALICE, TX 78332-4187
(361) 664-6671
(361) 664-6686
Mailing address
PO BOX 970, ALICE, TX 78333-0970
(361) 664-6671
(361) 664-6686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L6230
TX
Other
Enumeration date
05/01/2007
Last updated
04/16/2008
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