Provider Demographics
NPI:1912601907
Name:ALAMO PRIMARY CARE OF POTRANCO PLLC
Entity type:Organization
Organization Name:ALAMO PRIMARY CARE OF POTRANCO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:VISHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:NEMARUGOMMULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-571-1338
Mailing Address - Street 1:PO BOX 654421
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-4421
Mailing Address - Country:US
Mailing Address - Phone:210-571-1338
Mailing Address - Fax:210-783-8444
Practice Address - Street 1:12047 POTRANCO RD STE 105
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-7555
Practice Address - Country:US
Practice Address - Phone:210-571-1338
Practice Address - Fax:210-571-1339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty