Provider Demographics
NPI:1720198930
Name:ALDEN HEALTH CENTER PLLC
Entity Type:Organization
Organization Name:ALDEN HEALTH CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:N
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-296-5000
Mailing Address - Street 1:P.O. BOX 132468
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77393-2468
Mailing Address - Country:US
Mailing Address - Phone:281-296-5000
Mailing Address - Fax:281-296-5099
Practice Address - Street 1:7901 RESEARCH FOREST DR.
Practice Address - Street 2:SUITE 1400
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-1485
Practice Address - Country:US
Practice Address - Phone:281-296-5000
Practice Address - Fax:281-296-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A4448Medicare ID - Type Unspecified
TXG03639Medicare UPIN
TXH36711Medicare UPIN
TX8A4449Medicare ID - Type Unspecified
TX008034Medicare UPIN