Healthcare Provider Details

I. General information

NPI: 1760170401
Provider Name (Legal Business Name): ALAA RIHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 N PALESTINE ST
ATHENS TX
75751-4122
US

IV. Provider business mailing address

523 S FANNIN AVE
TYLER TX
75702-8204
US

V. Phone/Fax

Practice location:
  • Phone: 903-535-9041
  • Fax:
Mailing address:
  • Phone: 903-535-9041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberBP10085251
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberV9965
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: