Organization
ALAMO DIVERSE MEDICAL SERVICES PLLC
Active
Other names
Doctor A Medical Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
RAY ALTAMIRANO MD (PHYSICIAN/MANAGER)
(210) 912-1969
Entity
Organization
Contact information
Practice address
8508 SIR LANCELOT, SAN ANTONIO, TX 78240-4920
(210) 346-8188
Mailing address
8508 SIR LANCELOT, SAN ANTONIO, TX 78240-4920
(210) 346-8188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P0535
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284196701
—
TX
Enumeration date
12/29/2015
Last updated
01/23/2017
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