Provider Demographics
NPI:1144570185
Name:ALPHA ALPHA MEDICAL PLLC
Entity Type:Organization
Organization Name:ALPHA ALPHA MEDICAL PLLC
Other - Org Name:ALLSTAR HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KHYM
Authorized Official - Middle Name:B
Authorized Official - Last Name:ZARZUELA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:210-521-6886
Mailing Address - Street 1:PO BOX 781869
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78278-1869
Mailing Address - Country:US
Mailing Address - Phone:210-521-6886
Mailing Address - Fax:210-521-6608
Practice Address - Street 1:7042 BANDERA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1201
Practice Address - Country:US
Practice Address - Phone:210-521-6886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-18
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6289208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty