Provider Demographics
NPI:1831433259
Name:ALC INTERESTS LLC
Entity type:Organization
Organization Name:ALC INTERESTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:JK
Authorized Official - Last Name:SARGENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-538-1215
Mailing Address - Street 1:3227 FLOWER REEF CIR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-0769
Mailing Address - Country:US
Mailing Address - Phone:281-538-1215
Mailing Address - Fax:281-538-2244
Practice Address - Street 1:3227 FLOWER REEF CIR
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-0769
Practice Address - Country:US
Practice Address - Phone:281-538-1215
Practice Address - Fax:281-538-2244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies