Provider Demographics
NPI:1194803585
Name:CONDE, ALFREDO EMILIO (MD)
Entity type:Individual
Prefix:DR
First Name:ALFREDO
Middle Name:EMILIO
Last Name:CONDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8038 WURZBACH RD STE 210
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3812
Mailing Address - Country:US
Mailing Address - Phone:210-614-4337
Mailing Address - Fax:210-614-4357
Practice Address - Street 1:8038 WURZBACH RD STE 210
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3812
Practice Address - Country:US
Practice Address - Phone:210-614-4337
Practice Address - Fax:210-614-4357
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9647207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0967523-02Medicaid
TX110178629OtherRRMC
TX0048DHOtherBLUECROSS
TX096752305Medicaid
TX110682102OtherFIRSTCARE
TX00583DMedicare ID - Type Unspecified
TX0967523-02Medicaid
TX096752305Medicaid