Healthcare Provider Details

I. General information

NPI: 1417012857
Provider Name (Legal Business Name): ALAMO MOBILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 11/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6473 DE ZAVALA RD
SAN ANTONIO TX
78249-2343
US

IV. Provider business mailing address

6473 DE ZAVALA RD
SAN ANTONIO TX
78249-2343
US

V. Phone/Fax

Practice location:
  • Phone: 210-697-8884
  • Fax: 210-697-8377
Mailing address:
  • Phone: 210-697-8884
  • Fax: 210-697-8377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. MARTIN P. SMITH
Title or Position: OWNER
Credential:
Phone: 210-697-8884