| 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. |
|---|---|
| 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 |
|---|---|
| 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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