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SOUTH ALAMO MEDICAL GROUP P.A. NPI 1316023773


NPI Information

NPI: 1316023773
Provider Name: SOUTH ALAMO MEDICAL GROUP, P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4203 E SOUTHCROSS BLVD
SAN ANTONIO, TX
ZIP 78222
Phone: (210) 222-0333
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SOUTH ALAMO MEDICAL GROUP, P.A. is a pediatrics in San Antonio, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SOUTH ALAMO MEDICAL GROUP, P.A. NPI is 1316023773. The provider is registered as an organization entity type.

The provider's business location address is:

4203 E SOUTHCROSS BLVD
SAN ANTONIO, TX
ZIP 78222-722
Phone: (210) 222-0333
Fax: (210) 928-4837

The provider's authorized official is Miguel Ayala .
The authorized official title is Md and has the following contact phone number (210) 222-0333.

The enumeration date for this NPI number is 10/28/2006 and was last updated on 10/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1080083101MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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