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NPI 1689493637

NPI 1689493637 : ALPHA TREE, LLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1689493637
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALPHA TREE, LLC 
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Dates
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    Enumeration Date     |    10/07/2024
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    Last Update Date     |    10/07/2024
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Provider Practice Location Address
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    Address Line         |    5718 WESTHEIMER RD STE 1000 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77057-9903
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    Country              |    US
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    Telephone            |    832-521-9477
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5718 WESTHEIMER RD STE 1000 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77057-9903
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    Country              |    US
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    Telephone            |    832-521-9477
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MRS. BRAUNWYN LEAH DELCO 
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    Credential           |    
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    Telephone            |    832-423-1557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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