Provider Demographics
NPI:1083854020
Name:EUGENE L ALFORD MD FACS
Entity Type:Organization
Organization Name:EUGENE L ALFORD MD FACS
Other - Org Name:ALFORD ENT AND FACIAL PLASTIC SURGERY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:LANDON
Authorized Official - Last Name:ALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-532-3223
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 704
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-532-3223
Mailing Address - Fax:713-799-8821
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 704
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-532-3223
Practice Address - Fax:713-799-8821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-04
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2205207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Multi-Specialty