Provider Demographics
NPI:1548788805
Name:ALDA HEALTH SERVICES
Entity Type:Organization
Organization Name:ALDA HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOGONYARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-320-8361
Mailing Address - Street 1:13811 NAOMI HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-3309
Mailing Address - Country:US
Mailing Address - Phone:713-320-8361
Mailing Address - Fax:
Practice Address - Street 1:13811 NAOMI HOLLOW LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-3309
Practice Address - Country:US
Practice Address - Phone:832-328-8442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX944941OtherTEXAS BOARD OF NURSING