| Organization Name: | ALVIN MEDICAL CENTER LLC |
| NPI Number: | 1477988806 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIM FIELDING (CFO) |
| Mailing Address: | 2860 S Gordon St Alvin |
| State: | TX US |
| Postal Code: | 775114731 |
| Phone Number: | 9728996666 |
| Fax Number: | 9728995954 |
| NPI Enumeration Date: | 09/04/2013 |
| NPI Last Update Date: | 03/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | 160099 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |