MEDICARE: ALAMO MOBILITY, INC.

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1417012857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAMO MOBILITY, INC.

Provider Business Mailing Address
First Line	:	6473 DE ZAVALA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2343
Country	:	US
Telephone Number	:	210-697-8884
Fax Number	:	210-697-8377

Provider Business Practice Location Address
First Line	:	6473 DE ZAVALA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2343
Country	:	US
Telephone Number	:	210-697-8884
Fax Number	:	210-697-8377

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MARTIN P. SMITH
Credential	:
Telephone Number	:	210-697-8884

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	11/21/2007

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