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1700850393

NPI Code Detail

MEDICARE: ALAN M ELI MD

MEDICARE: ALAN M ELI MD

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
1	207Q00000X	Family Medicine Physician	L3635	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8DH350	OTHER	TX	BCBS
3	750818167049	OTHER	TX	TRICARE
4	752616977011	OTHER	TX	TRICARE CHAMPUS
5	120581	OTHER	TX	CHIPS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	EL08G1190	OTHER	TX	BCBS
8	P01092582	OTHER	TX	RAIL ROAD
9	752616977002	OTHER	TX	TRICARE
10	7649353	OTHER	TX	AETNA

General Provider Information

NPI Number	:	1700850393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN M ELI MD

Provider Business Mailing Address
First Line	:	PO BOX 846098
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-6098
Country	:	US
Telephone Number	:	903-324-6450
Fax Number	:

Provider Business Practice Location Address
First Line	:	20208 STATE HIGHWAY 155 S
Second Line	:
City	:	FLINT
State	:	TX
Zip	:	75762-5600
Country	:	US
Telephone Number	:	903-825-6222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	10/13/2014

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Directions to “ ALAN M ELI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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