MEDICARE: ALAINA MARIE BRELIN M.D.

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	207X00000X	Orthopaedic Surgery Physician	0101255126	VA
2	207X00000X	Orthopaedic Surgery Physician	S9469	TX

General Provider Information

NPI Number	:	1063774529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAINA MARIE BRELIN M.D.

Provider Business Mailing Address
First Line	:	18626 HARDY OAK BLVD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4218
Country	:	US
Telephone Number	:	210-878-4116
Fax Number	:	210-878-4113

Provider Business Practice Location Address
First Line	:	18626 HARDY OAK BLVD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4218
Country	:	US
Telephone Number	:	210-878-4116
Fax Number	:	210-878-4113

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

Provider Enumeration Date	:	06/11/2012
Last Update Date	:	08/27/2024

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