Provider Demographics
NPI:1265674352
Name:ALSATIAN CARE ENTERPRISES, LLC
Entity Type:Organization
Organization Name:ALSATIAN CARE ENTERPRISES, LLC
Other - Org Name:LITTLE ALSACE URGENT CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER- CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-538-3550
Mailing Address - Street 1:1501 HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78009-2739
Mailing Address - Country:US
Mailing Address - Phone:830-538-3550
Mailing Address - Fax:830-538-3553
Practice Address - Street 1:1501 HOUSTON ST
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:TX
Practice Address - Zip Code:78009-2739
Practice Address - Country:US
Practice Address - Phone:830-538-3550
Practice Address - Fax:830-538-3553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-03
Last Update Date:2018-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3639207P00000X
TXF3975261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF3975OtherTEXAS MEDICAL LICENSE
TXG3639OtherTEXAS MEDICAL LICENSE
TXG31213Medicare UPIN
TXF3975OtherTEXAS MEDICAL LICENSE
TX8F21671Medicare PIN
TX0A4052Medicare PIN
TX8F21672Medicare PIN