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NPI Code Detail

MEDICARE: TEXAS MEDICAL ALLIANCE INC

MEDICARE: TEXAS MEDICAL ALLIANCE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician596118TX

General Provider Information

NPI Number : 1619347200
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS MEDICAL ALLIANCE INC
Provider Business Mailing Address
First Line : 16225 PARK TEN PL STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77084-5152
Country : US
Telephone Number : 713-338-4002
Fax Number : 713-338-3410
Provider Business Practice Location Address
First Line : 16225 PARK TEN PL STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77084-5152
Country : US
Telephone Number : 713-395-4002
Fax Number : 832-530-0300
Authorized Official
Title or Position : BILLING MANAGER
Name : H LUNA
Credential :
Telephone Number : 713-395-4002
Provider Enumeration Date : 09/25/2015
Last Update Date : 07/19/2016

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Directions to “TEXAS MEDICAL ALLIANCE INC ” Practice Location

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