Provider Demographics
NPI:1366479834
Name:ALAMO CARDIOTHORACIC SURGICAL ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:ALAMO CARDIOTHORACIC SURGICAL ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-495-4200
Mailing Address - Street 1:525 OAK CENTRE DR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3917
Mailing Address - Country:US
Mailing Address - Phone:210-495-4200
Mailing Address - Fax:210-495-4203
Practice Address - Street 1:525 OAK CENTRE DR
Practice Address - Street 2:SUITE 270
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3917
Practice Address - Country:US
Practice Address - Phone:210-495-4200
Practice Address - Fax:210-495-4203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty