Individual provider · NPI-1

Andrew Lee Alfaro

Technician/Technologist · San Antonio, TX

NPI number1376405258
StatusActive
Last updated in NPPESNov 28, 2025

Details

NPI
1376405258
Entity type
Individual (NPI-1)
Name
Andrew Lee Alfaro
Sex
Male
Sole proprietor
No
Enumeration date
Nov 28, 2025
Certification date
Nov 28, 2025
Last updated
Nov 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156F00000X Technician/Technologist339708TXYes

Practice location

6000 West Ave
San Antonio, TX 78213-2714

Phone 210-341-3875

Mailing address

2823 Diamond Fld
San Antonio, TX 78245-1735

Phone 210-636-2986

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