Provider Demographics
NPI:1659197663
Name:ALLIANCE CARE CLINICS LLC
Entity type:Organization
Organization Name:ALLIANCE CARE CLINICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICAL /PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:UNNAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NASIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-468-9687
Mailing Address - Street 1:222 E VAN BUREN AVE STE 506
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-6823
Mailing Address - Country:US
Mailing Address - Phone:956-242-4452
Mailing Address - Fax:
Practice Address - Street 1:222 E VAN BUREN AVE STE 506
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6823
Practice Address - Country:US
Practice Address - Phone:956-242-4452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty