Provider Demographics
NPI:1841949815
Name:ALLIANCE HOSPITAL GROUP LLC
Entity type:Organization
Organization Name:ALLIANCE HOSPITAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAMOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:832-561-9821
Mailing Address - Street 1:17506 RED OAK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-1248
Mailing Address - Country:US
Mailing Address - Phone:832-561-9821
Mailing Address - Fax:
Practice Address - Street 1:17506 RED OAK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-1248
Practice Address - Country:US
Practice Address - Phone:832-561-9821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
No251S00000XAgenciesCommunity/Behavioral Health
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA