Healthcare Provider Details

I. General information

NPI: 1528273000
Provider Name (Legal Business Name): ALAMO WOMENS HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 06/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3903 WISEMAN BLVD #300
SAN ANTONIO TX
78251
US

IV. Provider business mailing address

3903 WISEMAN BLVD #300
SAN ANTONIO TX
78251
US

V. Phone/Fax

Practice location:
  • Phone: 210-426-3663
  • Fax: 210-426-3660
Mailing address:
  • Phone: 210-426-3663
  • Fax: 210-426-3660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberM6336
License Number StateTX

VIII. Authorized Official

Name: RENE PEREZ
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 210-426-3663