MEDICARE: ALIVIO FAMILY MEDICAL CENTER

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	261Q00000X	Clinic/Center	L6532	TX

General Provider Information

NPI Number	:	1568575082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALIVIO FAMILY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2409 ALDINE MAIL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77039-5509
Country	:	US
Telephone Number	:	281-219-2455
Fax Number	:	281-219-3959

Provider Business Practice Location Address
First Line	:	2409 ALDINE MAIL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77039-5509
Country	:	US
Telephone Number	:	281-219-2455
Fax Number	:	281-219-3959

Authorized Official
Title or Position	:	DOCTOR
Name	:	MR. MIGUEL MORALES
Credential	:	M.D.
Telephone Number	:	281-219-2455

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	11/07/2007

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Directions to “ALIVIO FAMILY MEDICAL CENTER ” Practice Location

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