Provider Demographics
NPI:1083730279
Name:HEALTH FOR ALL, INC
Entity Type:Organization
Organization Name:HEALTH FOR ALL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:DICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-774-4176
Mailing Address - Street 1:PO BOX 5913
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77805-5913
Mailing Address - Country:US
Mailing Address - Phone:979-774-4176
Mailing Address - Fax:979-774-4180
Practice Address - Street 1:3030 E 29TH ST STE 111
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2740
Practice Address - Country:US
Practice Address - Phone:979-774-4176
Practice Address - Fax:979-774-4180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service