# ALAMO DIVERSE MEDICAL SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Doctor A Medical Consulting
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578928099
- **Authorized official:** RAY ALTAMIRANO MD (PHYSICIAN/MANAGER)
- **Authorized official phone:** (210) 912-1969

## Contact information

- **Practice address:** 8508 SIR LANCELOT, SAN ANTONIO, TX 78240-4920
- **Practice address phone:** (210) 346-8188
- **Mailing address:** 8508 SIR LANCELOT, SAN ANTONIO, TX 78240-4920
- **Mailing address phone:** (210) 346-8188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | P0535 | TX | Yes |

## Other

- **Enumeration date:** 12/29/2015
- **Last updated:** 01/23/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 284196701 | — | TX |