Alice OBGYN Specialty Clinic, PA

Organization Active NPI Specialist · Alice, TX

NPI 1093936775 · NPPES record last updated Apr 16, 2008

Key facts

NPI
1093936775
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
L6230 (TX)
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
Organization subpart
No

Authorized official

Name
Heather C Hasette IV
Title
Office Manager
Phone
(361) 664-6671

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X L6230 TX Yes

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

Other providers in Alice, TX

All providers in Alice, TX · Specialist in Texas

Sources for this page

Verify at the official NPI Registry.