Provider Demographics
NPI:1891240552
Name:ALARIC II
Entity Type:Organization
Organization Name:ALARIC II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-502-1155
Mailing Address - Street 1:3333 ALLEN PKWY
Mailing Address - Street 2:SUITE 1403
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-1854
Mailing Address - Country:US
Mailing Address - Phone:404-502-1155
Mailing Address - Fax:
Practice Address - Street 1:3333 ALLEN PKWY
Practice Address - Street 2:SUITE 1403
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-1854
Practice Address - Country:US
Practice Address - Phone:404-502-1155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care MedicineGroup - Single Specialty