| Alamo Ranch Braces, Pllc | |
|
11203 Valley Meadow San TX 78251 | |
| (210) 858-6460 | |
| Not Available |
| Full Name | Alamo Ranch Braces, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11203 Valley Meadow, San, Texas |
| Authorized Official Name and Position | Joanna Ayala (MANAGING MEMBER) |
| Authorized Official Contact | 2106324560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alamo Ranch Braces, Pllc Po Box 356 Lytle TX 78052-0356 Ph: (210) 632-4560 | Alamo Ranch Braces, Pllc 11203 Valley Meadow San TX 78251 Ph: (210) 858-6460 |
| NPI Number | 1366272924 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366272924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |