Healthcare Provider Details
I. General information
NPI: 1417284449
Provider Name (Legal Business Name): ALSATIAN CARE ENTERPRISES MEDICAL PROFESSIONALS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/12/2009
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1501 HOUSTON ST
CASTROVILLE TX
78009-2739
US
IV. Provider business mailing address
1501 HOUSTON ST
CASTROVILLE TX
78009-2739
US
V. Phone/Fax
- Phone: 830-538-3550
- Fax:
- Phone: 830-538-3550
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PE0005X |
| Taxonomy | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
| License Number | G3639 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | F3975 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
MAX
E
BEST
JR.
Title or Position: OWNER/PROVIDER
Credential: M.D.
Phone: 830-538-3550