Healthcare Provider Details

I. General information

NPI: 1740983709
Provider Name (Legal Business Name): ALAINA WARRIOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 03/27/2023
Certification Date: 03/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12337 JONES RD STE 200-12
HOUSTON TX
77070-4893
US

IV. Provider business mailing address

12337 JONES RD STE 200-12
HOUSTON TX
77070-4893
US

V. Phone/Fax

Practice location:
  • Phone: 903-345-4545
  • Fax: 903-270-7520
Mailing address:
  • Phone: 903-345-4545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: