Provider Demographics
NPI:1467848432
Name:SOUTH TEXAS COST CONTAINMENT OF ALICE, P.A.
Entity Type:Organization
Organization Name:SOUTH TEXAS COST CONTAINMENT OF ALICE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:OLIVER
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-482-5551
Mailing Address - Street 1:12600 NORTHBOUROUGH DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067
Mailing Address - Country:US
Mailing Address - Phone:281-673-2466
Mailing Address - Fax:713-972-3420
Practice Address - Street 1:5141 CENTER ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-1841
Practice Address - Country:US
Practice Address - Phone:281-478-5108
Practice Address - Fax:281-479-6358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL9314OtherTEXAS STATE BOARD OF MEDIC