Provider Demographics
NPI:1376660514
Name:ALAMO EYE INSTITUTE PA
Entity Type:Organization
Organization Name:ALAMO EYE INSTITUTE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LYNNELL
Authorized Official - Middle Name:C
Authorized Official - Last Name:LOWRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-697-3821
Mailing Address - Street 1:18720 STONE OAK PARKWAY
Mailing Address - Street 2:STE 119A
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258
Mailing Address - Country:US
Mailing Address - Phone:210-697-3821
Mailing Address - Fax:210-690-0165
Practice Address - Street 1:18720 STONE OAK PARKWAY
Practice Address - Street 2:STE 119A
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-697-3821
Practice Address - Fax:210-690-0165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty