Provider Demographics
NPI:1316489156
Name:ALIGN HEALTH PLLC
Entity type:Organization
Organization Name:ALIGN HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JERRYLEE
Authorized Official - Middle Name:OTIMEYE
Authorized Official - Last Name:EJUWA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-251-0550
Mailing Address - Street 1:1025 S MAIN ST STE 305
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7506
Mailing Address - Country:US
Mailing Address - Phone:817-251-0550
Mailing Address - Fax:817-251-0599
Practice Address - Street 1:1025 S MAIN ST STE 305
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-7506
Practice Address - Country:US
Practice Address - Phone:817-251-0550
Practice Address - Fax:817-251-0599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-10
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty