Provider Demographics
NPI:1821568148
Name:DOCTORS ALLIANCE LLC
Entity Type:Organization
Organization Name:DOCTORS ALLIANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:SHEPPARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:713-299-3101
Mailing Address - Street 1:607 S MASON RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3419
Mailing Address - Country:US
Mailing Address - Phone:281-392-6550
Mailing Address - Fax:
Practice Address - Street 1:607 S MASON RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3419
Practice Address - Country:US
Practice Address - Phone:281-392-6550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-29
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No293D00000XLaboratoriesPhysiological LaboratoryGroup - Multi-Specialty