Provider Demographics
NPI:1114980331
Name:ALAMO CITY CARDIOVASCULAR SURGEONS
Entity Type:Organization
Organization Name:ALAMO CITY CARDIOVASCULAR SURGEONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-271-3660
Mailing Address - Street 1:519 E QUINCY ST
Mailing Address - Street 2:SUTIE B
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-1605
Mailing Address - Country:US
Mailing Address - Phone:210-932-1487
Mailing Address - Fax:210-932-1951
Practice Address - Street 1:1303 MCCULLOUGH AVE
Practice Address - Street 2:SUITE 270
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212
Practice Address - Country:US
Practice Address - Phone:210-932-1487
Practice Address - Fax:210-932-1951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-10
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0040JFOtherBCBS
TX151735102Medicaid