NPI Code Details Logo

NPI 1154817146

NPI 1154817146 : ALLIANCE NETWORK : FORT WORTH, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1154817146
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ALLIANCE NETWORK 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/02/2018
-----------------------------------------------------
    Last Update Date     |    07/02/2018
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3501 E BERRY ST STE 100 
-----------------------------------------------------
    City                 |    FORT WORTH
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76105-5306
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    925-876-9604
-----------------------------------------------------
    Fax                  |    817-386-9597
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3501 E BERRY ST STE 100 
-----------------------------------------------------
    City                 |    FORT WORTH
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76105-5306
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    925-876-9604
-----------------------------------------------------
    Fax                  |    817-386-9597
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CO- OWNER/DIRECTOR OF OPERATIONS
-----------------------------------------------------
    Name                 |    MR. AKINTOYE  AKINLABI 
-----------------------------------------------------
    Credential           |    PARTNER
-----------------------------------------------------
    Telephone            |    925-876-9604
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    344600000X
-----------------------------------------------------
    Taxonomy Name        |    Taxi
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.