Healthcare Provider Details

I. General information

NPI: 1952664674
Provider Name (Legal Business Name): ASHLEY VARNON ALEMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 07/10/2020
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1434 E SONTERRA BLVD
SAN ANTONIO TX
78258-4971
US

IV. Provider business mailing address

4330 MEDICAL DR STE 500
SAN ANTONIO TX
78229-3318
US

V. Phone/Fax

Practice location:
  • Phone: 210-402-3456
  • Fax: 210-402-3233
Mailing address:
  • Phone: 210-732-3668
  • Fax: 210-732-3338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberQ4713
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: