Individual
ALFREDO J. FIALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 BALTIMORE, SAN ANTONIO, TX 78215-1919
(210) 228-0743
(210) 228-9749
Mailing address
7142 SAN PEDRO AVE, SUITE 120, SAN ANTONIO, TX 78216-6256
(210) 661-5622
(210) 395-4012
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
H6815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118942503
—
TX
01
—
390004412
MEDICARE RAILROAD
TX
Enumeration date
12/06/2005
Last updated
11/08/2018
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