Provider Demographics
NPI:1457512477
Name:ALLIANCE HEALTH GROUP LLC
Entity Type:Organization
Organization Name:ALLIANCE HEALTH GROUP LLC
Other - Org Name:AVETIK HARUTUNIAN SOLE MBR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AVETIK
Authorized Official - Middle Name:
Authorized Official - Last Name:HARUTUNIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-332-1452
Mailing Address - Street 1:7378 SALVADORA PL
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-3293
Mailing Address - Country:US
Mailing Address - Phone:702-332-1452
Mailing Address - Fax:
Practice Address - Street 1:8989 WESTHEIMER RD
Practice Address - Street 2:SUITE 324
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3621
Practice Address - Country:US
Practice Address - Phone:702-332-1452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty