Provider Demographics
NPI:1386815017
Name:HTT HEALTHCARE ALLIANCE
Entity Type:Organization
Organization Name:HTT HEALTHCARE ALLIANCE
Other - Org Name:HTT FEEDING DISORDERS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:BARNETT
Authorized Official - Last Name:PORCH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:325-338-1123
Mailing Address - Street 1:342 RIVERSIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-1704
Mailing Address - Country:US
Mailing Address - Phone:325-338-1123
Mailing Address - Fax:325-670-9823
Practice Address - Street 1:1202 HICKORY ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-3508
Practice Address - Country:US
Practice Address - Phone:325-338-1123
Practice Address - Fax:325-670-9823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation