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Individual

MR. ALAN DALE AILLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
5010 CRENSHAW RD., STE. #130, PASADENA, TX 77505-3047
(281) 991-2200
(281) 991-7700
Mailing address
PO BOX 5607, PASADENA, TX 77508-5607
(281) 991-2200
(281) 991-7700

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
48218
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0046CC
RPK MEDICARE GROUP #
TX
Enumeration date
09/05/2007
Last updated
06/21/2011
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