MEDICARE: ALAMO PRIMARY CARE OF POTRANCO 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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1912601907
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAMO PRIMARY CARE OF POTRANCO PLLC

Provider Business Mailing Address
First Line	:	PO BOX 654421
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-4421
Country	:	US
Telephone Number	:	210-571-1338
Fax Number	:	210-783-8444

Provider Business Practice Location Address
First Line	:	12047 POTRANCO RD STE 105
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-7555
Country	:	US
Telephone Number	:	210-571-1338
Fax Number	:	210-571-1339

Authorized Official
Title or Position	:	MD
Name	:	VISHAL NEMARUGOMMULA
Credential	:
Telephone Number	:	210-571-1338

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	04/02/2025

Similar Medicare Providers

1568327989 — JACKLINE JEPCHIRCHIR KEMEI
Practice Location Address:

12047 POTRANCO RD STE 105
SAN ANTONIO, TX
78253-7555

Practice Phone: 210-571-1338
Practice Fax:

1215665591 — SELENA MARIE VILLARREAL
Practice Location Address:

12047 POTRANCO RD STE 105
SAN ANTONIO, TX
78253-7555

Practice Phone: 210-571-1338
Practice Fax: 210-571-1339

1558166611 — ERIC ABRAHAM ORNELAS FNP-C
Practice Location Address:

12047 POTRANCO RD STE 105
SAN ANTONIO, TX
78253-7555

Practice Phone: 210-571-1338
Practice Fax: 210-571-1339

1841212073 — JENNIFER MARIE SHADROCK FNP
Practice Location Address:

7555 NW LOOP 410 , SUITE 114
SAN ANTONIO, TX
78245-2148

Practice Phone: 210-520-8070
Practice Fax: 210-521-7688

1720288806 — MS. CAROL ANN KELLY DILWORTH L.B.S.W
Practice Location Address:

7555 FOSS MDWS
SAN ANTONIO, TX
78244-2250

Practice Phone: 210-875-4663
Practice Fax: --

1366781148 — SUZANIE LORI JENNIFER CANO PT, DPT
Practice Location Address:

7555 NW LOOP 410 STE 114
SAN ANTONIO, TX
78245-2148

Practice Phone: 210-520-8070
Practice Fax: 210-521-7688

Directions to “ALAMO PRIMARY CARE OF POTRANCO PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.