Organization Active NPI

Texas Alliance Medical Group, PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1033237136
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEXAS ALLIANCE MEDICAL GROUP, PA
Practice address
14755 North Fwy Ste 400
Houston, TX 77090-6508
Phone
(281) 876-2500
Fax
(281) 876-2574
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leslie Allison, M.D.
Title
Medical Director
Phone
(281) 977-8372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14755 North Fwy Ste 400
Houston, TX 77090-6508

Mailing address

14770 Memorial # 200
Houston, TX 77079-5252
Phone (281) 493-5535

Other identifiers 4

IdentifierTypeStateIssuer
080591301MedicaidTX
00438NOtherTXBC/BS
CG5146OtherTXRAIL ROAD MEDICARE
00438NOtherTXBCBS

Other names 1

  • Doctors Clinic Houston Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TX Alliance Medical Gro8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14755 North Fwy
Ste 400
Houston, TX 77090
Phone (281) 876-2500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1033237136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14770 MEMORIAL # 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795252",
            "telephone_number": "281-493-5535",
            "fax_number": "281-493-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14755 NORTH FWY STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770906508",
            "telephone_number": "281-876-2500",
            "fax_number": "281-876-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ALLIANCE MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-977-8372",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080591301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00438N",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CG5146",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00438N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Clinic Houston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doctors Clinic Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.