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Organization
SOUTH ALAMO MEDICAL GROUP, P.A.
Active
Organization
SOUTH ALAMO MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL AYALA MD (MD)
(210) 222-0333
Entity
Organization
Contact information
Practice address
4203 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3722
(210) 222-0333
(210) 928-4837
Mailing address
740 SOUTH ALAMO STREET, SAN ANTONIO, TX 78205-3437
(210) 222-0333
(210) 928-4837
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080083101
—
TX
Enumeration date
10/28/2006
Last updated
10/19/2021
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