Provider Demographics
NPI:1417446642
Name:SOUTH ALAMO FOOT & ANKLE PLLC
Entity Type:Organization
Organization Name:SOUTH ALAMO FOOT & ANKLE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:210-227-8700
Mailing Address - Street 1:102 PALO ALTO RD STE 133
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78211-3792
Mailing Address - Country:US
Mailing Address - Phone:210-923-9200
Mailing Address - Fax:210-923-9202
Practice Address - Street 1:102 PALO ALTO RD STE 133
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-3792
Practice Address - Country:US
Practice Address - Phone:210-923-9200
Practice Address - Fax:210-923-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty