MEDICARE: AMBER M ALONZO PA

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	363A00000X	Physician Assistant	PA11833	TX

General Provider Information

NPI Number	:	1376045765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER M ALONZO PA

Provider Business Mailing Address
First Line	:	4900 BROADWAY STE 700
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-5739
Country	:	US
Telephone Number	:	830-310-6101
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 BROADWAY STE 700
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-5739
Country	:	US
Telephone Number	:	830-310-6101
Fax Number	:

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

Provider Enumeration Date	:	03/01/2018
Last Update Date	:	03/19/2026

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Directions to “ AMBER M ALONZO PA” Practice Location

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