Provider Demographics
NPI:1558755306
Name:ALAMO RANCH INTEGRATIVE MEDICINE
Entity Type:Organization
Organization Name:ALAMO RANCH INTEGRATIVE MEDICINE
Other - Org Name:ARIM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO-OWNER PLLC
Authorized Official - Prefix:DR
Authorized Official - First Name:TEOFILO
Authorized Official - Middle Name:R
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:210-957-1693
Mailing Address - Street 1:11345 ALAMO RANCH PKWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-6440
Mailing Address - Country:US
Mailing Address - Phone:210-957-1693
Mailing Address - Fax:210-462-7650
Practice Address - Street 1:11345 ALAMO RANCH PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-6440
Practice Address - Country:US
Practice Address - Phone:210-957-1693
Practice Address - Fax:210-462-7650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-18
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5480207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty