Healthcare Provider Details

I. General information

NPI: 1235954421
Provider Name (Legal Business Name): ALPHA HEALTH CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2024
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 TIMBERLOCH PL
SPRING TX
77380-1335
US

IV. Provider business mailing address

2001 TIMBERLOCH PL
SPRING TX
77380-1335
US

V. Phone/Fax

Practice location:
  • Phone: 713-897-9345
  • Fax: 936-323-6958
Mailing address:
  • Phone: 713-897-9345
  • Fax: 936-323-6958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LENAH E NGOMBO
Title or Position: OWNER
Credential:
Phone: 682-365-3840