NPIMap

Organization Active NPI

Texas Alliance Medical Group, PA

Doing business as Doctors Clinic Houston

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1861446304
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
Doing business as
Doctors Clinic Houston
Practice address
14770 Memorial Dr.
Houston, TX 77079-5252
Phone
(713) 330-1530
Fax
(713) 330-1535
NPI assigned
May 20, 2006
Last updated
Jan 18, 2021By the provider in NPPES
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.NPI 1265405534
Title
Medical Director
Phone
(281) 977-8372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
General Practice Physician 208D00000X NU

Addresses

Primary practice location

14770 Memorial Dr.
Houston, TX 77079-5252

Mailing address

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

Other identifiers 9

IdentifierTypeStateIssuer
080591305MedicaidTX
TMHP THSTEPSOtherTX080591302
080591307MedicaidTX
AMERIGROUPOtherTX10001202
080591306MedicaidTX
00438NOtherTXBC/BS
080591301MedicaidTX
00438NOtherTXBLUE CROSS BLUE SHIELD
MEDICARE RAIL ROADOtherTXCG5146

Other names 1

  • Doctors Clinic Houston Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428001465 TX Part B Supplier - Clinic/Group Practice 0345237582 Receives reassigned benefits from 6 practitioners
Practice locations: Houston, TX

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

14770 Memorial Dr
Ste 100
Houston, TX 77079
Phone (281) 496-7333

14770 Memorial Dr
Ste 20
Houston, TX 77079

14771 Memorial Dr
Ste 220
Houston, TX 77079

Practitioners & affiliated clinicians

Practitioners 12

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1861446304",
    "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": "14770 MEMORIAL DR.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795252",
            "telephone_number": "713-330-1530",
            "fax_number": "713-330-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ALLIANCE MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "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": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080591305",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "080591302",
            "identifier": "TMHP THSTEPS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080591307",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "10001202",
            "identifier": "AMERIGROUP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080591306",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00438N",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080591301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00438N",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CG5146",
            "identifier": "MEDICARE RAIL ROAD",
            "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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.