MEDICARE: ALAMO HEIGHTS CONCIERGE PSYCHIATRY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1558175554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAMO HEIGHTS CONCIERGE PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	PO BOX 90415
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-9084
Country	:	US
Telephone Number	:	210-595-0406
Fax Number	:

Provider Business Practice Location Address
First Line	:	6714 N NEW BRAUNFELS AVE STE 105
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-3846
Country	:	US
Telephone Number	:	210-595-0406
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. BENIGNO J. FERNANDEZ
Credential	:	MD
Telephone Number	:	210-595-0406

Provider Enumeration Date	:	02/03/2025
Last Update Date	:	02/03/2025

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