MEDICARE: ALAMO OSTEOPATHIC PHYSICIANS AND SURGEONS

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1598776361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAMO OSTEOPATHIC PHYSICIANS AND SURGEONS

Provider Business Mailing Address
First Line	:	12650 NACOGDOCHES RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-2118
Country	:	US
Telephone Number	:	210-656-4363
Fax Number	:	210-599-1251

Provider Business Practice Location Address
First Line	:	12650 NACOGDOCHES RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-2118
Country	:	US
Telephone Number	:	210-656-4363
Fax Number	:	210-599-1251

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HARRY HERNANDEZ
Credential	:	D.O.
Telephone Number	:	210-656-4363

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	08/22/2020

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