Individual
ALEC LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 S LOOP 256, PALESTINE, TX 75801-6901
(903) 723-8800
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F6862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135728704
—
TX
01
—
80X515
ADDITIONAL MEDICARE
TX
Enumeration date
05/23/2005
Last updated
09/02/2023
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