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NPI 1235954421

NPI 1235954421 : ALPHA HEALTH CENTER PLLC : SPRING, TX

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General NPI Number Information
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    NPI Number           |    1235954421
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALPHA HEALTH CENTER PLLC 
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Dates
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    Enumeration Date     |    11/21/2024
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    Last Update Date     |    12/13/2024
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Provider Practice Location Address
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    Address Line         |    2001 TIMBERLOCH PL 
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77380-1335
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    Country              |    US
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    Telephone            |    713-897-9345
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    Fax                  |    936-323-6958
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Provider Business Mailing Address
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    Address Line         |    2001 TIMBERLOCH PL 
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77380-1335
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    Country              |    US
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    Telephone            |    713-897-9345
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    Fax                  |    936-323-6958
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LENAH E NGOMBO 
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    Credential           |    
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    Telephone            |    682-365-3840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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