Provider Demographics
NPI:1184274078
Name:ALIGN CLINIC, LLC
Entity type:Organization
Organization Name:ALIGN CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-375-2231
Mailing Address - Street 1:1001 MEDICAL PLAZA DR STE 130
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3257
Mailing Address - Country:US
Mailing Address - Phone:281-419-1616
Mailing Address - Fax:281-419-1615
Practice Address - Street 1:1001 MEDICAL PLAZA DR STE 130
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3257
Practice Address - Country:US
Practice Address - Phone:281-419-1616
Practice Address - Fax:281-419-1615
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALIGN CLINIC, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier