Organization · NPI-2

Alamo Area Dermatology

Dermatology · San Antonio, TX

NPI number1891877601
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1891877601
Entity type
Organization (NPI-2)
Legal business name
Alamo Area Dermatology
Organization subpart
No
Enumeration date
Oct 20, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology––Yes

Practice location

1842 Lockhill Selma
Suite 101
San Antonio, TX 78213

Phone 210-349-0011 · Fax 210-349-0666

Mailing address

1842 Lockhill Selma
Suite 101
San Antonio, TX 78213

Phone 210-349-0011 · Fax 210-349-0666

Authorized official

Joe L Gomez
Ceo
2103490011

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