NPIMap

Organization Active NPI

Texas Alliance Medical Group, PA

  • Multi-Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1841889409
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TEXAS ALLIANCE MEDICAL GROUP, PA
Practice address
12188 Gulf Fwy
Houston, TX 77034-4442
Phone
(281) 977-8384
Fax
(713) 636-2559
NPI assigned
Jan 18, 2021
Organization subpart
Yes
Parent organization
TEXAS ALLIANCE MEDICAL GROUP, PAAs reported in NPPES

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 J Allison, MD
Title
Medical Director
Phone
(281) 977-8365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

12188 Gulf Fwy
Houston, TX 77034-4442

Mailing address

14770 Memorial Dr # 220
Houston, TX 77079-5252
Phone (281) 977-8372

Other identifiers 2

IdentifierTypeStateIssuer
080591306MedicaidTX
080591305MedicaidTX

Other names 1

  • Doctors Clinic Houston Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2209323Texas Alliance Medical Group, PA12188 Gulf Fwy, Houston, TX 77034Certificate of waiverJan 12, 2027

National Provider Directory

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

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1841889409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14770 MEMORIAL DR # 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795252",
            "telephone_number": "281-977-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344442",
            "telephone_number": "281-977-8384",
            "fax_number": "713-636-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ALLIANCE MEDICAL GROUP, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS ALLIANCE MEDICAL GROUP, PA",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-977-8365",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080591306",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080591305",
            "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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.