Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | H2205 | TX |
N | 207YS0123X | Facial Plastic Surgeon | H2205 | TX |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | H2205 | TX |
NPI | 1093700387 |
---|---|
Provider Name | Eugene Landon Alford |
First Address | Houston, TX 77030-2761 |
Second Address | Houston, TX 77030-2761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 07/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8FW265 | BCBS (01) | TX |
8GD738 | BCBS (01) | TX |
B20861 | (02) |