Healthcare Provider Details

I. General information

NPI: 1871989459
Provider Name (Legal Business Name): SOUTH TEXAS COST CONTAINMENT OF ALICE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2015
Last Update Date: 04/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 E MAIN ST
ALICE TX
78332-4963
US

IV. Provider business mailing address

12600 NORTHBOROUGH DR SUITE 300
HOUSTON TX
77067
US

V. Phone/Fax

Practice location:
  • Phone: 361-664-6504
  • Fax: 361-664-6531
Mailing address:
  • Phone: 281-673-2466
  • Fax: 713-972-3420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: DR. WILLIAM OLIVER LEE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 281-482-5551