Provider Demographics
NPI:1730355926
Name:ALAMO REHABILITATION CENTER ASSOC,
Entity type:Organization
Organization Name:ALAMO REHABILITATION CENTER ASSOC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MDPA
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:210-614-7230
Mailing Address - Street 1:12770 CIMARRON PATH
Mailing Address - Street 2:132
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3416
Mailing Address - Country:US
Mailing Address - Phone:210-614-7230
Mailing Address - Fax:210-614-7230
Practice Address - Street 1:12770 CIMARRON PATH
Practice Address - Street 2:132
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3416
Practice Address - Country:US
Practice Address - Phone:210-614-7230
Practice Address - Fax:210-614-7230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty