Provider Demographics
NPI:1316293913
Name:ALLY HEALTHCARE ADVOCATES, LLC
Entity type:Organization
Organization Name:ALLY HEALTHCARE ADVOCATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:DUC
Authorized Official - Middle Name:H
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-328-1437
Mailing Address - Street 1:10603 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 116B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5222
Mailing Address - Country:US
Mailing Address - Phone:832-328-1437
Mailing Address - Fax:832-328-1443
Practice Address - Street 1:10603 BELLAIRE BLVD
Practice Address - Street 2:SUITE 116B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5222
Practice Address - Country:US
Practice Address - Phone:832-328-1437
Practice Address - Fax:832-328-1443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty