Provider Demographics
NPI:1639343882
Name:ALLIED PHYSICIANS GROUP OF TEXAS, P.L.L.C.
Entity Type:Organization
Organization Name:ALLIED PHYSICIANS GROUP OF TEXAS, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:409-722-6553
Mailing Address - Street 1:2501 JIMMY JOHNSON BLVD
Mailing Address - Street 2:SUITE 405-B
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77640-2000
Mailing Address - Country:US
Mailing Address - Phone:409-722-6553
Mailing Address - Fax:409-729-1500
Practice Address - Street 1:2600 HIGHWAY 365
Practice Address - Street 2:SUITE B
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-6237
Practice Address - Country:US
Practice Address - Phone:409-722-6553
Practice Address - Fax:409-729-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0347207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty