Provider Demographics
NPI:1114341716
Name:ALARA MEDICAL
Entity Type:Organization
Organization Name:ALARA MEDICAL
Other - Org Name:JAMES MACKEY, MD
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:MACKEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-679-6301
Mailing Address - Street 1:1222 BELLEAU DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-2709
Mailing Address - Country:US
Mailing Address - Phone:214-724-0338
Mailing Address - Fax:800-268-8733
Practice Address - Street 1:1222 BELLEAU DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-2709
Practice Address - Country:US
Practice Address - Phone:214-724-0338
Practice Address - Fax:800-268-8733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2999207R00000X, 207RH0002X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty