Provider Demographics
NPI:1063717858
Name:ALAMO HEALTH CARE SERVICES
Entity type:Organization
Organization Name:ALAMO HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-778-9911
Mailing Address - Street 1:5322 MEDICAL DR
Mailing Address - Street 2:A206
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1978
Mailing Address - Country:US
Mailing Address - Phone:210-778-9911
Mailing Address - Fax:
Practice Address - Street 1:5322 MEDICAL DR
Practice Address - Street 2:A206
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1978
Practice Address - Country:US
Practice Address - Phone:210-778-9911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities