South Alamo Medical Group, P.a. | |
4203 E Southcross Blvd San Antonio TX 78222-3722 | |
(210) 222-0333 | |
(210) 928-4837 |
Full Name | South Alamo Medical Group, P.a. |
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Speciality | Pediatrics |
Location | 4203 E Southcross Blvd, San Antonio, Texas |
Authorized Official Name and Position | Miguel Ayala (MD) |
Authorized Official Contact | 2102220333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South Alamo Medical Group, P.a. 740 South Alamo Street San Antonio TX 78205-3437 Ph: (210) 222-0333 | South Alamo Medical Group, P.a. 4203 E Southcross Blvd San Antonio TX 78222-3722 Ph: (210) 222-0333 |
NPI Number | 1316023773 |
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Provider Enumeration Date | 10/28/2006 |
Last Update Date | 10/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316023773 | NPI | - | NPPES |
080083101 | Medicaid | TX |
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