Provider Demographics
NPI:1730598269
Name:ALAMO CHILDRENS HEART CENTER, PA
Entity type:Organization
Organization Name:ALAMO CHILDRENS HEART CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC CARDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:JATIN
Authorized Official - Middle Name:N
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:210-654-0944
Mailing Address - Street 1:705 LANDA ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6172
Mailing Address - Country:US
Mailing Address - Phone:210-654-0944
Mailing Address - Fax:210-568-4819
Practice Address - Street 1:12414 TOEPPERWEIN RD
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3230
Practice Address - Country:US
Practice Address - Phone:210-654-0944
Practice Address - Fax:210-568-4819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric CardiologyGroup - Single Specialty