Healthcare Provider Details

I. General information

NPI: 1245034438
Provider Name (Legal Business Name): ALIVIO HEALTHCARE SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 LAS COLINAS BLVD E # 130-550
IRVING TX
75039-6291
US

IV. Provider business mailing address

391 LAS COLINAS BLVD E # 130-550
IRVING TX
75039-6291
US

V. Phone/Fax

Practice location:
  • Phone: 214-727-0349
  • Fax: 214-245-5923
Mailing address:
  • Phone: 214-727-0349
  • Fax: 214-245-5923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. HOWARD LIU
Title or Position: PRESIDENT
Credential:
Phone: 214-727-0349