Organization
ALAMO THERAPY GROUP, LLC
Active
Other names
Premier Pediatric Therapy, Alamo Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAYLOR J KOVAR (OWNER)
(936) 465-4110
Entity
Organization
Contact information
Practice address
415 S 1ST ST STE 300A, LUFKIN, TX 75901-3863
(832) 539-1632
(832) 539-1633
Mailing address
415 S 1ST ST STE 300A, LUFKIN, TX 75901-3863
(832) 539-1632
(832) 539-1633
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015955
—
TX
05
—
019552
—
TX
Enumeration date
07/24/2013
Last updated
12/20/2019
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