MEDICARE: MR. JOSEPH D ALEJOS P.T.

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	2251X0800X	Orthopedic Physical Therapist	1054286	TX

General Provider Information

NPI Number	:	1952366320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH D ALEJOS P.T.

Provider Business Mailing Address
First Line	:	13720 MAGNOLIA WAY
Second Line	:
City	:	HELOTES
State	:	TX
Zip	:	78023-4604
Country	:	US
Telephone Number	:	210-793-7971
Fax Number	:

Provider Business Practice Location Address
First Line	:	9643 HUEBNER RD
Second Line	:	SUITE 102
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1751
Country	:	US
Telephone Number	:	210-224-2320
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	01/08/2013

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