Provider Demographics
NPI:1235954421
Name:ALPHA HEALTH CENTER PLLC
Entity type:Organization
Organization Name:ALPHA HEALTH CENTER PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LENAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:NGOMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-365-3840
Mailing Address - Street 1:2001 TIMBERLOCH PL
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1335
Mailing Address - Country:US
Mailing Address - Phone:713-897-9345
Mailing Address - Fax:936-323-6958
Practice Address - Street 1:2001 TIMBERLOCH PL
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1335
Practice Address - Country:US
Practice Address - Phone:713-897-9345
Practice Address - Fax:936-323-6958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty