Provider Demographics
NPI:1679974778
Name:ALLIANCE SENIOR HEALTH, PLLC
Entity Type:Organization
Organization Name:ALLIANCE SENIOR HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KOYIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FIGURES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-733-3867
Mailing Address - Street 1:304 S RHODES ST
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-4215
Mailing Address - Country:US
Mailing Address - Phone:870-733-3867
Mailing Address - Fax:870-732-7707
Practice Address - Street 1:304 S RHODES ST
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-4215
Practice Address - Country:US
Practice Address - Phone:870-733-3867
Practice Address - Fax:870-732-7707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty