Provider Demographics
NPI:1164092839
Name:ALFI ORAL SURGERY, PA
Entity Type:Organization
Organization Name:ALFI ORAL SURGERY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-537-9930
Mailing Address - Street 1:6624 FANNIN ST STE 1710
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2329
Mailing Address - Country:US
Mailing Address - Phone:844-253-4667
Mailing Address - Fax:844-253-4667
Practice Address - Street 1:6624 FANNIN ST STE 1710
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2329
Practice Address - Country:US
Practice Address - Phone:844-253-4667
Practice Address - Fax:844-253-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty