Iglesias, Alan

Iglesias, Alan is an sole proprietor health care provider with primary practice located at 23896 Loop 494 , Porter TX 77365-4924. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Iglesias, Alan can be contacted via phone (281) 354-5482.

Contact Information

Primary practice address
23896 Loop 494 Porter TX 77365-4924
Fax: (281) 354-6146
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17987 Texas

Profile Details

NPI number 1629114046
LBN Legal business name Iglesias, Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 9th, 2007 - about 17 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 1629114046 NPPES
Texas MEDICAID 1350690503

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