National Provider Identifier Database

ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE
Psychiatric Hospital

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.


Contact Information

ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE
1612 S HENDERSON BLVD
KILGORE, TX75662-3518
Phone: 903-984-3505
Fax:
Website:
Specialty Taxonomy Code
* Psychiatric Hospital 283Q00000X

* Indicates primary specialty

NPI Profile & details for ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE

NPI Number 1407089386
Legal business name
LBN
ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE
Authorized official HAMEED AKILO - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart No
Enumeration date 08/26/2009
Last updated 08/26/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 26142

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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