MEDICARE: DR. ALFREDO EMILIO CONDE 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	207RP1001X	Pulmonary Disease Physician	J9647	TX
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	J9647	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	110178629	OTHER	TX	RRMC
3	0048DH	OTHER	TX	BLUECROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	110682102	OTHER	TX	FIRSTCARE

General Provider Information

NPI Number	:	1194803585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALFREDO EMILIO CONDE M.D.

Provider Business Mailing Address
First Line	:	8038 WURZBACH RD STE 210
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3812
Country	:	US
Telephone Number	:	210-614-4337
Fax Number	:	210-614-4357

Provider Business Practice Location Address
First Line	:	8038 WURZBACH RD STE 210
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3812
Country	:	US
Telephone Number	:	210-614-4337
Fax Number	:	210-614-4357

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	05/19/2026

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