Individual
ALAN M ELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20208 STATE HIGHWAY 155 S, FLINT, TX 75762-5600
(903) 825-6222
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L3635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120581
CHIPS
TX
05
—
151333501
—
TX
05
—
151333503
—
TX
01
—
750818167049
TRICARE
TX
01
—
752616977002
TRICARE
TX
01
—
752616977011
TRICARE CHAMPUS
TX
01
—
7649353
AETNA
TX
01
—
8DH350
BCBS
TX
01
—
EL08G1190
BCBS
TX
01
—
P01092582
RAIL ROAD
TX
Enumeration date
02/13/2006
Last updated
10/13/2014
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