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NPI Code Detail

MEDICARE: DAVID A ALONZO

MEDICARE: DAVID A ALONZO
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
1225200000XPhysical Therapy Assistant2111476TX

General Provider Information

NPI Number : 1871075903
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID A ALONZO
Provider Business Mailing Address
First Line : 5100 JOHN D RYAN BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78245-3527
Country : US
Telephone Number : 210-568-3415
Fax Number : 210-677-0551
Provider Business Practice Location Address
First Line : 5100 JOHN D RYAN BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78245-3527
Country : US
Telephone Number : 210-568-3415
Fax Number : 210-677-0551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2018
Last Update Date : 09/05/2018

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