MEDICARE: ALFREDO CONDE MD PLLC

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	J9647	TX
2	207QS1201X	Sleep Medicine (Family Medicine) Physician	J9647	TX
3	207RP1001X	Pulmonary Disease Physician	J9647	TX

General Provider Information

NPI Number	:	1821586454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALFREDO CONDE MD PLLC

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	:

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	:

Authorized Official
Title or Position	:	OWNER/AUTHORIZED OFFICAL
Name	:	DR. ALFREDO CONDE
Credential	:	MD
Telephone Number	:	210-614-4337

Provider Enumeration Date	:	04/30/2018
Last Update Date	:	04/30/2018

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