MEDICARE: ALLIANCE HEALTH GROUP LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1457512477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE HEALTH GROUP LLC

Provider Business Mailing Address
First Line	:	7378 SALVADORA PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3293
Country	:	US
Telephone Number	:	702-332-1452
Fax Number	:

Provider Business Practice Location Address
First Line	:	8989 WESTHEIMER RD
Second Line	:	SUITE 324
City	:	HOUSTON
State	:	TX
Zip	:	77063-3621
Country	:	US
Telephone Number	:	702-332-1452
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. AVETIK HARUTUNIAN
Credential	:
Telephone Number	:	702-332-1452

Provider Enumeration Date	:	06/23/2008
Last Update Date	:	06/23/2008

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Directions to “ALLIANCE HEALTH GROUP LLC ” Practice Location

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