Provider Demographics
NPI:1336561331
Name:ALCOCER PRIMARY HOME CARE, INC
Entity type:Organization
Organization Name:ALCOCER PRIMARY HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRUNO
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:ALCOCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-785-9311
Mailing Address - Street 1:3700 FREDERICKSBURG RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-3269
Mailing Address - Country:US
Mailing Address - Phone:210-785-9311
Mailing Address - Fax:210-785-9311
Practice Address - Street 1:3700 FREDERICKSBURG RD
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-3269
Practice Address - Country:US
Practice Address - Phone:210-785-9311
Practice Address - Fax:210-785-9989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-09
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016169253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care