Active NPI
Alice OBGYN Specialty Clinic, PA
- Specialist
- Alice, TX
National Provider Identifier
1093936775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- L6230
- Legal business name
- ALICE OBGYN SPECIALTY CLINIC, PA
- Practice address
- 2510 E Main St
Suite 106
Alice, TX 78332-4187 - Phone
- (361) 664-6671
- Fax
- (361) 664-6686
- NPI assigned
- May 1, 2007
- Last updated
- Apr 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather C Hasette IV
- Title
- Office Manager
- Phone
- (361) 664-6671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | L6230 | TX | Primary |
Addresses
Primary practice location
2510 E Main St
Suite 106
Alice, TX 78332-4187
Mailing address
PO Box 970
Alice, TX 78333-0970
Phone (361) 664-6671
National Provider Directory
National Provider DirectoryLocations
2510 E Main St
Ste 106
Alice, TX 78332
Phone (361) 661-8370
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208304000000",
"number": "1093936775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 970",
"city": "ALICE",
"state": "TX",
"postal_code": "783330970",
"telephone_number": "361-664-6671",
"fax_number": "361-664-6686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 E MAIN ST",
"address_2": "SUITE 106",
"city": "ALICE",
"state": "TX",
"postal_code": "783324187",
"telephone_number": "361-664-6671",
"fax_number": "361-664-6686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALICE OBGYN SPECIALTY CLINIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2008-04-16",
"status": "A",
"authorized_official_last_name": "HASETTE",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "361-664-6671",
"authorized_official_name_suffix": "IV"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "L6230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alice, TX
- Alice Health Medical Clinic
- Alice II Enterprises, LLC (The Premier Memory Care of Alice)
- Alice III Enterprises, LLC (The Premier Assisted Living of Alice)
- Alice Independent School District
- Alice Medical and Diagnostic Center, P.a. (Alice Medical and Diagnostic Center)
- Alice Sleep Lab Inc
- Debra Kaye Alvarado, FNP
- Valerie Alvarado, M.S., CF-SLP
- Austi Marie Alvarez
- Leonor Alvarez, LBSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.