MEDICARE: HILDA EDITH ALAS AGACNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	AP134592	TX

General Provider Information

NPI Number	:	1245753326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILDA EDITH ALAS AGACNP-BC

Provider Business Mailing Address
First Line	:	7010 STAFFORDSHIRE BLVD APT 412
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4133
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16605 SOUTHWEST FWY STE 115
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3475
Country	:	US
Telephone Number	:	713-777-5334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2017
Last Update Date	:	08/31/2017

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