Alanis, Audencio

Alanis, Audencio is an sole proprietor health care provider with primary practice located at 201 Enterprise Ave Suite 100, League City TX 77573-3082. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Alanis, Audencio can be contacted via phone (281) 538-1111.

Contact Information

Primary practice address
201 Enterprise Ave Suite 100 League City TX 77573-3082
Fax: (713) 455-4321
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G9704 Texas

Profile Details

NPI number 1710931159
LBN Legal business name Alanis, Audencio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Jun 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710931159 NPPES
Texas MEDICAID 084785701

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