Organization
TEXAS ALLIANCE MEDICAL GROUP, PA
Active
Parent organization
TEXAS ALLIANCE MEDICAL GROUP, PA
Other names
Doctors Clinic Houston
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXAS ALLIANCE MEDICAL GROUP, PA
Authorized official
LESLIE J ALLISON MD (MEDICAL DIRECTOR)
(281) 977-8365
Entity
Organization
Contact information
Practice address
12188 GULF FWY, HOUSTON, TX 77034-4442
(281) 977-8384
(713) 636-2559
Mailing address
14770 MEMORIAL DR # 220, HOUSTON, TX 77079-5252
(281) 977-8372
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080591305
—
TX
05
—
080591306
—
TX
Enumeration date
01/18/2021
Last updated
01/18/2021
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