Individual
MR. ALFONSO CARLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1102 COMMERCIAL AVE # 1, SAN ANTONIO, TX 78211-1752
(210) 977-8400
(210) 977-8401
Mailing address
1102 COMMERICAL AVE #1, SAN ANTONIO, TX 78211
(210) 977-8400
(210) 977-8401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
320309673
TX
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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