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General NPI Number Information
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NPI Number | 1144662776
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Entity Type | Organization
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Legal Business Name | ALAMO THERAPY GROUP, LLC
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 415 S 1ST ST STE 300A
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City | LUFKIN
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State | TX
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Zip | 75901-3863
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Country | US
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Telephone | 832-539-1632
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Fax | 832-539-1633
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Provider Business Mailing Address
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Address Line | 415 S 1ST ST STE 300A
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City | LUFKIN
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State | TX
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Zip | 75901-3863
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Country | US
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Telephone | 832-539-1632
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Fax | 832-539-1633
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Authorized Official
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Title or Position | OWNER
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Name | MR. TAYLOR J KOVAR
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Credential |
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Telephone | 936-465-4110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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